FUTUREMED EVENING CLINIC PLLC NPI 1194233403

NPI Information

FUTUREMED EVENING CLINIC PLLC is a primary care clinic center in Greensboro, NC. FUTUREMED EVENING CLINIC PLLC NPI is 1194233403. The provider is registered as an organization entity type.

The provider's business location address is:

2003 BOULEVARD ST STE C
GREENSBORO, NC
ZIP 27407-579
Phone: (336) 579-8328

The provider's authorized official is Tarshia Donnell .
The authorized official title is Practice Manager and has the following contact phone number (336) 523-2305.

The CLIA number assigned to this NPI record is 34D2144715 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/21/2018 and was last updated on 11/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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