Organization
360 SURGICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHAVIK SHAH MD (DIRECTOR)
(813) 842-5956
Entity
Organization
Contact information
Practice address
175 COUNTRY CLUB DR STE 300E, STOCKBRIDGE, GA 30281-9054
(813) 842-5956
(678) 941-4139
Mailing address
175 COUNTRY CLUB DR STE 300E, STOCKBRIDGE, GA 30281-9054
(813) 842-5956
(678) 941-4139
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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