Organization
AFFINITY HEALTHCARE GROUP FRANKLIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD MARTIN (OWNER)
(757) 933-2660
Entity
Organization
Contact information
Practice address
6806 FOREST LAKE CT, SUFFOLK, VA 23435-2935
(757) 933-2660
(757) 537-2365
Mailing address
6806 FOREST LAKE CT, SUFFOLK, VA 23435-2935
(757) 933-2660
(757) 537-2365
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
0101049004
VA
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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