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Organization
AFFINITY HEALTH GROUP LLC
Active
Organization
AFFINITY HEALTH GROUP LLC
Active
Other names
Affinity Children and Family Walk In Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JANET L JUSTICE (DIRECTOR OF OPERATIONS)
(318) 807-7875
Entity
Organization
Contact information
Practice address
920 OLIVER RD, MONROE, LA 71201-5702
(318) 807-6250
(318) 812-7345
Mailing address
130 DESIARD ST STE 355, MONROE, LA 71201-7363
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
—
NULL
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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