Affinity Health Group, LLC
Family Medicine in Monroe, LA. Organization (NPI-2).
NPI number1750667481
StatusActive
Last updated in NPPESMay 28, 2020
Details
- NPI
- 1750667481
- Entity type
- Organization (NPI-2)
- Legal business name
- Affinity Health Group, LLC
- Organization subpart
- No
- Enumeration date
- Oct 26, 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 | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | |
| 183500000X | Pharmacist | – | – | |
| 208000000X | Pediatrics | – | – | |
| 208600000X | Surgery | – | – | |
| 225100000X | Physical Therapist | – | – |
Other names
- Affinity Walk-In Clinic (Doing Business As)
Practice location
2408 Broadmoor Blvd Ste BMonroe, LA 71201-2994
Phone 318-807-0525 · Fax 318-807-1077
Mailing address
130 Desiard StSuite 355
Monroe, LA 71201-7319
Phone 318-807-7875 · Fax 318-812-9997
Authorized official
Janet Justice
Director Of Operations
3188077875
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