# AFFINITY HEALTH GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Affinity Walk-In Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750667481
- **Authorized official:** MR. JANET JUSTICE (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (318) 807-7875

## Contact information

- **Practice address:** 2408 BROADMOOR BLVD STE B, MONROE, LA 71201-2994
- **Practice address phone:** (318) 807-0525
- **Practice address fax:** (318) 807-1077
- **Mailing address:** 130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
- **Mailing address phone:** (318) 807-7875
- **Mailing address fax:** (318) 812-9997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 183500000X | Pharmacist | — | NULL | — |
| 183500000X | Pharmacist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 10/26/2011
- **Last updated:** 05/28/2020
