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Contact Information

360 CHRONIC CARE MANAGEMENT
35 VARDEN DR STE A-1
AIKEN, SC29803-5275
 Phone: 803-243-1066
 Fax: 803-226-0335
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Case Management

163WC0400X
 

Community Health

363LC1500X 50 Nurse Practitioner
 

General Practice

163WG0000X
 

Gerontology

163WG0600X
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Health & Wellness Coach

171400000X
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Licensed Practical Nurse

164W00000X
 

Massage Therapist

225700000X
 

Nutrition Support

163WN1003X
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for 360 CHRONIC CARE MANAGEMENT · (Female)

NPI Number 1962260232
Status Active
Credentials
Entity Individual
Enumeration date 03/11/2024
Last updated 06/24/2025 - About 12 months ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid PG2956
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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