Organization · NPI-2
360 Health And Wellness LLC
Family Medicine · Troy, VA
NPI number1710658307
StatusActive
Last updated in NPPESSep 23, 2021
Details
- NPI
- 1710658307
- Entity type
- Organization (NPI-2)
- Legal business name
- 360 Health And Wellness LLC
- Organization subpart
- No
- Enumeration date
- Sep 23, 2021
- Certification date
- Sep 23, 2021
- Last updated
- Sep 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- 360 Health And Wellness (Doing Business As)
Practice location
5570 Richmond Rd Bsmt SuiteTroy, VA 22974-4421
Phone 540-360-1077 · Fax 434-484-1919
Mailing address
5570 Richmond Rd Bsmt SuiteTroy, VA 22974-4421
Phone 540-360-1077 · Fax 434-484-1919
Authorized official
Shannon Miller
Fnp-C
5403601077
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.