OrganizationActive
360 Chronic Care Management
NPI 1962260232 · Nurse Practitioner · Aiken, SC
Provider details
- NPI number
- 1962260232
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Juanethea Bryantlord, Business Owner
Practice location
35 Varden Dr Ste A-1
Aiken, SC 29803-5275
Phone: (803) 243-1066
Fax: (803) 226-0335
Mailing address
35 Varden Dr Ste A-1
Aiken, SC 29803-5275
Registry dates
- Enumerated
- 2024-03-11
- Last updated
- 2025-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.