Organization · NPI-2

360 Wellness & Nutrition, PA

Family Medicine · Wilson, NC

NPI number1316603285
StatusActive
Last updated in NPPESMay 6, 2025

Details

NPI
1316603285
Entity type
Organization (NPI-2)
Legal business name
360 Wellness & Nutrition, PA
Organization subpart
No
Enumeration date
Nov 15, 2021
Certification date
May 6, 2025
Last updated
May 6, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

2500 Nash St N Ste B
Wilson, NC 27896-1394

Phone 252-237-1225

Mailing address

2500 Nash St N Ste B
Wilson, NC 27896-1394

Phone 252-237-1225

Authorized official

Thomas E Hooper
Owner/MD
2522371225

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