Affinity Health Group, LLC
Family Medicine in Monroe, LA. Organization (NPI-2).
NPI number1609267897
StatusActive
Last updated in NPPESDec 7, 2021
Details
- NPI
- 1609267897
- Entity type
- Organization (NPI-2)
- Legal business name
- Affinity Health Group, LLC
- Organization subpart
- No
- Enumeration date
- Feb 10, 2015
- Certification date
- Dec 7, 2021
- Last updated
- Dec 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Oliver Road Family Practice (Doing Business As)
Practice location
920 Oliver Rd # MMonroe, LA 71201-5702
Phone 318-329-9202 · Fax 318-329-1258
Mailing address
130 Desiard StSuite 355
Monroe, LA 71201-7319
Phone 318-387-7875 · Fax 318-812-6603
Authorized official
Janet Justice
Director Of Operations
3188077875
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