| 360 Health And Wellness Llc | |
|
5570 Richmond Rd Bsmt Suite Troy VA 22974-4421 | |
| (540) 360-1077 | |
| (434) 484-1919 |
| Full Name | 360 Health And Wellness Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5570 Richmond Rd Bsmt Suite, Troy, Virginia |
| Authorized Official Name and Position | Shannon Miller (FNP-C) |
| Authorized Official Contact | 5403601077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 360 Health And Wellness Llc 5570 Richmond Rd Bsmt Suite Troy VA 22974-4421 Ph: (540) 360-1077 | 360 Health And Wellness Llc 5570 Richmond Rd Bsmt Suite Troy VA 22974-4421 Ph: (540) 360-1077 |
| NPI Number | 1710658307 |
|---|---|
| Provider Enumeration Date | 09/23/2021 |
| Last Update Date | 09/23/2021 |
| Medicare PECOS PAC ID | 7911397914 |
|---|---|
| Medicare Enrollment ID | O20211207000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710658307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Shannon Mcdonnell Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255705281 PECOS PAC ID: 0244522233 Enrollment ID: I20170328001758 |
Vantage Point Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5578 Richmond Rd Ste 203, Troy, VA 22974 Phone: 434-825-9768 |