360 Health and Wellness LLC

Organization Active NPI Family Medicine Physician · Troy, VA

NPI 1710658307 · NPPES record last updated Sep 23, 2021

Key facts

NPI
1710658307
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
360 HEALTH AND WELLNESS LLC
Practice address
5570 Richmond Rd BSMT Suite
Troy, VA 22974-4421
Phone
(540) 360-1077
Fax
(434) 484-1919
NPI assigned
Sep 23, 2021
Organization subpart
No

Authorized official

Name
Mrs. Shannon Miller, NP
Title
FNP-C
Phone
(540) 360-1077

National Provider Directory

Locations

5570 Richmond Rd
Bsmt
Troy, VA 22974
Phone (434) 305-2992

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

5570 Richmond Rd BSMT Suite
Troy, VA 22974-4421

Mailing address

5570 Richmond Rd BSMT Suite
Troy, VA 22974-4421
Phone (540) 360-1077

Other names

  • 360 Health and Wellness Doing business as

Other providers in Troy, VA

All providers in Troy, VA · Family Medicine Physician in Virginia

Sources for this page

Verify at the official NPI Registry.