Organization · NPI-2

360 Medical Group Georgia INC

Family Medicine · Sandy Springs, GA

NPI number1609700426
StatusActive
Last updated in NPPESJul 17, 2026

Details

NPI
1609700426
Entity type
Organization (NPI-2)
Legal business name
360 Medical Group Georgia INC
Organization subpart
No
Enumeration date
Jun 9, 2026
Certification date
Jul 17, 2026
Last updated
Jul 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

8735 Dunwoody Pl Ste N
Sandy Springs, GA 30350-2995

Phone 215-326-1602

Mailing address

8735 Dunwoody Pl Ste N
Sandy Springs, GA 30350-2995

Authorized official

James Villar
Administrator
7736451192

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