MEDICARE: INFINITY TREATMENT SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1447919881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITY TREATMENT SOLUTIONS

Provider Business Mailing Address
First Line	:	708 BLUE MOON CT
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27455-9349
Country	:	US
Telephone Number	:	336-471-4882
Fax Number	:

Provider Business Practice Location Address
First Line	:	708 BLUE MOON CT
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27455-9349
Country	:	US
Telephone Number	:	336-471-4882
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. WARREN TORRENCE
Credential	:
Telephone Number	:	336-471-4882

Provider Enumeration Date	:	12/13/2021
Last Update Date	:	12/13/2021

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