Provider Demographics
NPI:1174005052
Name:THRIVE FAMILY MEDICINE
Entity Type:Organization
Organization Name:THRIVE FAMILY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CECIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:864-412-2777
Mailing Address - Street 1:429 ROPER MOUNTAIN RD STE 700
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4261
Mailing Address - Country:US
Mailing Address - Phone:864-412-2777
Mailing Address - Fax:855-877-7043
Practice Address - Street 1:429 ROPER MOUNTAIN RD STE 700
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4261
Practice Address - Country:US
Practice Address - Phone:864-412-2777
Practice Address - Fax:864-412-3007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-06
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty