Provider Demographics
NPI:1235993270
Name:THRIVE PEDIATRICS AND WELLNESS, PLLC
Entity Type:Organization
Organization Name:THRIVE PEDIATRICS AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:K
Authorized Official - Last Name:STRANGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-576-2231
Mailing Address - Street 1:3800 MEETING ST STE 222
Mailing Address - Street 2:
Mailing Address - City:LAKE PARK
Mailing Address - State:NC
Mailing Address - Zip Code:28079-6582
Mailing Address - Country:US
Mailing Address - Phone:704-576-2231
Mailing Address - Fax:980-987-3998
Practice Address - Street 1:3800 MEETING ST STE 222
Practice Address - Street 2:
Practice Address - City:LAKE PARK
Practice Address - State:NC
Practice Address - Zip Code:28079-6582
Practice Address - Country:US
Practice Address - Phone:980-897-3991
Practice Address - Fax:980-987-3998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty