Organization
PHYSICIAN 360, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH WARREN PHARMD (PRESIDENT AND CHIEF CLINICAL OFFICE)
(502) 417-7386
Entity
Organization
Contact information
Practice address
3379 PEACHTREE RD NE STE 700, ATLANTA, GA 30326-1419
(360) 861-6199
(360) 282-0136
Mailing address
3379 PEACHTREE RD NE STE 700, ATLANTA, GA 30326-1419
(360) 861-6199
(360) 282-0136
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
07/21/2023
Last updated
01/10/2025
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