Organization
AFFINITY HEALTH GROUP, LLC
Active
Other names
Affinity Industrial Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE BREARD (EXECUTIVE DIRECTOR)
(318) 361-0900
Entity
Organization
Contact information
Practice address
130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-6603
Mailing address
920 OLIVER RD, SUITE D, MONROE, LA 71201-5702
(318) 812-7559
(318) 812-7563
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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