Organization
AFFINITY HEALTH GROUP, LLC
Active
Other names
Affinity Health Group ULM Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE BREARD (VICE PRESIDENT)
(318) 361-0900
Entity
Organization
Contact information
Practice address
1140 UNIVERSITY AVE, MONROE, LA 71209-0001
(318) 342-1651
(318) 342-3280
Mailing address
130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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