Organization
AFFINITY HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R DUKES (ADMINISTRATOR)
(229) 391-4100
Entity
Organization
Contact information
Practice address
4380 KINGS WAY, VALDOSTA, GA 31602-6921
(229) 391-4100
(229) 391-4508
Mailing address
2225 US HWY 41 N, TIFTON, GA 31794
(229) 391-4100
(229) 391-4508
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
GA
Other
Enumeration date
01/15/2008
Last updated
06/13/2008
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