NPI 1902850035 · live from the CMS NPI Registry
Affinity Health Group, LLC
Family Medicine in Mangham, LA. National Provider Identifier 1902850035, active.
NPI record
| NPI | 1902850035 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 261 Hwy 132, Mangham, LA 71259 |
| Practice phone | 318-248-2807 |
| Mailing address | 130 Desiard St, Suite 355, Monroe, LA 71201 |
| Enumerated | May 22, 2006 |
| Last updated | December 7, 2011 |
| Authorized official | Mike Breard, Vice President |
| Other names | Abraham Medical Clinic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.