Affinity Health Group LLC
Family Medicine, Adolescent Medicine in Monroe, LA. Organization (NPI-2).
NPI number1992219786
StatusActive
Last updated in NPPESDec 1, 2017
Details
- NPI
- 1992219786
- Entity type
- Organization (NPI-2)
- Legal business name
- Affinity Health Group LLC
- Organization subpart
- No
- Enumeration date
- Dec 1, 2017
- Last updated
- Dec 1, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0000X | Family Medicine, Adolescent Medicine | – | – | Yes |
Other names
- Affinity Children And Family Walk In Clinic (Doing Business As)
Practice location
920 Oliver RdMonroe, LA 71201-5702
Phone 318-807-6250 · Fax 318-812-7345
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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