# MAX 360 HEALTH, LLC

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

## Provider details

- **NPI number:** 1700134913
- **Authorized official:** MR. BRIAN OUELLETTE D.C. (OWNER)
- **Authorized official phone:** (770) 312-5005

## Contact information

- **Practice address:** 12315 CRABAPPLE RD, SUITE 144, ALPHARETTA, GA 30004-6329
- **Practice address phone:** (678) 261-3222
- **Practice address fax:** (678) 261-3226
- **Mailing address:** 12315 CRABAPPLE RD, SUITE 144, ALPHARETTA, GA 30004-6329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 038955 | GA | Yes |

## Other

- **Enumeration date:** 08/17/2012
- **Last updated:** 08/17/2012