# FUTUREMED EVENING CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194233403
- **Authorized official:** TARSHIA DONNELL (PRACTICE MANAGER)
- **Authorized official phone:** (336) 523-2305

## Contact information

- **Practice address:** 2003 BOULEVARD ST STE C, GREENSBORO, NC 27407-4579
- **Practice address phone:** (336) 579-8328
- **Mailing address:** PO BOX 788, GREENSBORO, NC 27402-0788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/21/2018
- **Last updated:** 11/26/2020