Affinity Health Group LLC
Specialist in Tifton, GA. Organization (NPI-2).
NPI number1952372005
StatusActive
Last updated in NPPESNov 14, 2009
Details
- NPI
- 1952372005
- Entity type
- Organization (NPI-2)
- Legal business name
- Affinity Health Group LLC
- Organization subpart
- No
- Enumeration date
- Jan 27, 2006
- Last updated
- Nov 14, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
2225 Us Highway 41 NTifton, GA 31794-2749
Phone 229-391-4100 · Fax 229-391-4508
Mailing address
2225 Us Highway 41 NTifton, GA 31794-2749
Phone 229-391-4100 · Fax 229-391-4508
Authorized official
Michael R Dukes
Administrator
2293914100
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