OrganizationActive
360 Medical Management
NPI 1013161637 · Specialist · Woodstock, GA
Provider details
- NPI number
- 1013161637
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Authorized official
- Myron Moorehead, Managing Member
- License
- 058478 (GA)
Practice location
200 Parkbrooke Dr
Suite 200
Woodstock, GA 30189-6331
Phone: (770) 591-8360
Fax: (770) 591-8364
Mailing address
200 Parkbrooke Dr
Woodstock, GA 30189-6331
Registry dates
- Enumerated
- 2008-11-10
- Last updated
- 2009-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.