Organization
360 MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW DAVIS (CFO)
(843) 606-3500
Entity
Organization
Contact information
Practice address
1011 LAKE HUNTER CIR, SUITE 105, MOUNT PLEASANT, SC 29464-5418
(843) 606-3500
(843) 737-8190
Mailing address
1011 LAKE HUNTER CIR, SUITE 105, MOUNT PLEASANT, SC 29464-5418
(843) 606-3500
(843) 737-8190
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
08/18/2014
Last updated
11/08/2016
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