MEDICARE: THRIVE CHIROPRACTIC CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NI0013X	Independent Medical Examiner Chiropractor

General Provider Information

NPI Number	:	1952775231
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVE CHIROPRACTIC CENTER

Provider Business Mailing Address
First Line	:	2017 COUNTRY PLACE DR
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30906
Country	:	US
Telephone Number	:	404-645-1544
Fax Number	:

Provider Business Practice Location Address
First Line	:	2017 COUNTRY PLACE DR
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30906-8738
Country	:	US
Telephone Number	:	404-645-1544
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CARL PARSEE JR.
Credential	:
Telephone Number	:	404-645-1544

Provider Enumeration Date	:	11/24/2015
Last Update Date	:	11/24/2015

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