Organization · NPI-2
Affinity Health Group, LLC
Internal Medicine · Baton Rouge, LA
NPI number1437784907
StatusActive
Last updated in NPPESMar 5, 2020
Details
- NPI
- 1437784907
- Entity type
- Organization (NPI-2)
- Legal business name
- Affinity Health Group, LLC
- Organization subpart
- No
- Enumeration date
- Mar 5, 2020
- Certification date
- Mar 5, 2020
- Last updated
- Mar 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- Affinity Population Health-Baton Rouge (Doing Business As)
Practice location
13348 Coursey BlvdBaton Rouge, LA 70816-4970
Phone 225-442-7939
Mailing address
130 Desiard St Ste 355Monroe, LA 71201-7363
Phone 318-807-7875 · Fax 318-812-6603
Authorized official
Janet L Justice
Director Of Operations
3188077875
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