Organization
AFFINITY HEALTH GROUP LLC
Active
Other names
Affinity Urology Clinic2
Organization subpart
No
Provider details
NPI number
Authorized official
JANET L JUSTICE (DIRECTOR OF OPERATIONS)
(318) 998-3426
Entity
Organization
Contact information
Practice address
2516 BROADMOOR BLVD STE 3C1, MONROE, LA 71201-2988
(318) 807-4743
(318) 361-2180
Mailing address
130 DESIARD ST STE 355, MONROE, LA 71201-7363
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
05/11/2018
Last updated
07/21/2021
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