OrganizationActive
360 Health and Wellness LLC
NPI 1710658307 · Family Medicine Physician · Troy, VA
Provider details
- NPI number
- 1710658307
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shannon Miller, Fnp-C(540) 360-1077
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5570 Richmond Rd Bsmt Suite
Troy, VA 22974-4421
Phone: (540) 360-1077
Fax: (434) 484-1919
Approximate (ZIP-level) locationGet directions
Mailing address
5570 Richmond Rd Bsmt Suite
Troy, VA 22974-4421
Other names (DBA / former)
- Doing business as
- 360 Health and Wellness
Registry dates
- Enumerated
- 2021-09-23
- Last updated
- 2021-09-23
- Certified
- 2021-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.