# 360 MED SPA MANAGEMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346192366
- **Authorized official:** ASHLEY GORDON (OWNER)
- **Authorized official phone:** (770) 932-2662

## Contact information

- **Practice address:** 2720 MALL OF GEORGIA BLVD STE 107, BUFORD, GA 30519-8760
- **Practice address phone:** (770) 932-2662
- **Mailing address:** 440 CARTER AVE SE, ATLANTA, GA 30317-3244
- **Mailing address phone:** (323) 443-4141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/11/2026
- **Last updated:** 02/11/2026