Provider Demographics
NPI:1679453609
Name:THE EVENING CLINICS
Entity type:Organization
Organization Name:THE EVENING CLINICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:OLUSUNMISOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OYESIKU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-245-9780
Mailing Address - Street 1:7956 VAUGHN RD # 408
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-6817
Mailing Address - Country:US
Mailing Address - Phone:334-245-9780
Mailing Address - Fax:
Practice Address - Street 1:1329 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-1163
Practice Address - Country:US
Practice Address - Phone:334-245-9780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-02
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty