Individual
GEMEKIA COLEMAN FUTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
147 PEACHTREE LN, ADVANCE, NC 27006-6753
(336) 716-2011
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
005002925
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004370
—
NC
Enumeration date
04/30/2007
Last updated
07/21/2014
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