Organization
THRIVE GYNECOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN P ARCHER MHA (ADMINISTRATION)
(704) 390-7150
Entity
Organization
Contact information
Practice address
6401 MORRISON BLVD, SUITE 2A, CHARLOTTE, NC 28211-3800
(704) 390-7150
Mailing address
PO BOX 12734, CHARLOTTE, NC 28220-2734
(704) 390-7150
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
01352
NC
207VG0400X
Gynecology Physician
86119
NC
207VG0400X
Gynecology Physician
Primary
94961
NC
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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