Healthcare Provider Details

I. General information

NPI: 1447919881
Provider Name (Legal Business Name): INFINITY TREATMENT SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2021
Last Update Date: 12/13/2021
Certification Date: 12/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 BLUE MOON CT
GREENSBORO NC
27455-9349
US

IV. Provider business mailing address

708 BLUE MOON CT
GREENSBORO NC
27455-9349
US

V. Phone/Fax

Practice location:
  • Phone: 336-471-4882
  • Fax:
Mailing address:
  • Phone: 336-471-4882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. WARREN TORRENCE
Title or Position: CEO
Credential:
Phone: 336-471-4882