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Organization
AFFINITY HEALTH GROUP, LLC
Active
Organization
AFFINITY HEALTH GROUP, LLC
Active
Other names
Affinity Industrial Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE BREARD (EXECUTIVE DIRECTOR)
(318) 361-0900
Entity
Organization
Contact information
Practice address
130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-6603
Mailing address
920 OLIVER RD, SUITE D, MONROE, LA 71201-5702
(318) 812-7559
(318) 812-7563
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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