| 360care LLC | |
|
40 Technology Pkwy S Ste 300 Norcross GA 30092-2924 | |
| (502) 244-2420 | |
| (502) 996-8282 |
| Full Name | 360care LLC |
|---|---|
| Speciality | Dentist |
| Location | 40 Technology Pkwy S Ste 300, Norcross, Georgia |
| Authorized Official Name and Position | Joy L Stevens (DIRECTOR OF REVENUE) |
| Authorized Official Contact | 5022442441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 360care LLC 12910 Shelbyville Rd Ste 300 Louisville KY 40243-2404 Ph: (502) 244-2420 | 360care LLC 40 Technology Pkwy S Ste 300 Norcross GA 30092-2924 Ph: (502) 244-2420 |
| NPI Number | 1114542446 |
|---|---|
| Provider Enumeration Date | 06/12/2020 |
| Last Update Date | 06/12/2020 |
| Certification Date | 06/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114542446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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