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Contact Information

360 MED SPA MANAGEMENT
2720 MALL OF GEORGIA BLVD STE 107
BUFORD, GA30519-8760
 Phone: 770-932-2662
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Specialty

261QM2500X
 

Health Service

261QH0100X
Indicates primary specialty

NPI Profile & details for 360 MED SPA MANAGEMENT

NPI Number 1346192366
LBN Legal business name 360 MED SPA MANAGEMENT
Authorized official ASHLEY GORDON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/11/2026
Last updated 02/11/2026 - About 4 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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