Affinity Health Group, LLC
Family Medicine in Monroe, LA. Organization (NPI-2).
NPI number1669767638
StatusActive
Last updated in NPPESMay 28, 2020
Details
- NPI
- 1669767638
- Entity type
- Organization (NPI-2)
- Legal business name
- Affinity Health Group, LLC
- Organization subpart
- No
- Enumeration date
- Jun 17, 2011
- Certification date
- May 28, 2020
- Last updated
- May 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 133V00000X | Dietitian, Registered | – | – | |
| 225100000X | Physical Therapist | – | – |
Other names
- Affinity Family Practice & Wound Care (Doing Business As)
Practice location
920 Oliver Rd # JMonroe, LA 71201-5702
Phone 318-807-3700 · Fax 318-807-0014
Mailing address
130 Desiard StSte 355
Monroe, LA 71201-7319
Phone 318-807-7875 · Fax 318-812-6603
Authorized official
Mike Breard
Vice President
3183610900
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