Affinity Health Gorup, LLC
Internal Medicine, Rheumatology in Monroe, LA. Organization (NPI-2).
NPI number1326731191
StatusActive
Last updated in NPPESJun 23, 2023
Details
- NPI
- 1326731191
- Entity type
- Organization (NPI-2)
- Legal business name
- Affinity Health Gorup, LLC
- Organization subpart
- No
- Enumeration date
- May 30, 2023
- Certification date
- Jun 23, 2023
- Last updated
- Jun 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RR0500X | Internal Medicine, Rheumatology | – | – | Yes |
Other names
- Affinity Rheumatology Clinic (Doing Business As)
Practice location
2516 Broadmoor Blvd Ste 1b2Monroe, LA 71201-2988
Phone 318-807-6292 · Fax 318-812-6293
Mailing address
130 Desiard St Ste 355Monroe, LA 71201-7363
Phone 318-807-7875 · Fax 318-812-6603
Authorized official
Rhonda Collinsworth
Credentialing & Licensing Spec.
3189983426
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