Organization
FUTUREMED EVENING CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARSHIA DONNELL (PRACTICE MANAGER)
(336) 523-2305
Entity
Organization
Contact information
Practice address
2003 BOULEVARD ST STE C, GREENSBORO, NC 27407-4579
(336) 579-8328
Mailing address
PO BOX 788, GREENSBORO, NC 27402-0788
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/21/2018
Last updated
11/26/2020
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