| NPI | 1942974746 |
|---|---|
| Doing Business As | THRIVE FAMILY MEDICINE OF MANDEVILLE |
| Entity Type | Organization |
| Authorized Contact | COURTNEY MORGAN Owner 985-590-1452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-11-10 |