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Organization

AFFINITY HEALTH GROUP, LLC

Active
Other names
PEDICATRICS PLUS, AMC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MIKE BREARD (VICE PRESIDENT)
(318) 361-0900
Entity
Organization

Contact information

Practice address
3401 MAGNOLIA CV, MONROE, LA 71203-2375
(318) 325-6311
(318) 361-9805
Mailing address
130 DESIARD ST, STE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-9997

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
363LP0200X
Pediatric Nurse Practitioner

Other

Enumeration date
05/12/2006
Last updated
07/05/2011
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