| NPI | 1811795123 |
|---|---|
| Former Legal Business Name | THRIVE WELLNESS AT HIRAM, LLC |
| Entity Type | Organization |
| Authorized Contact | AMY R EVANS Manager 770-441-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-04-18 |