Whalio Doctors

NPI 1053957944

Affinity Health Group LLC

Organisation Dermatology Physician Monroe, LA

Practice location

Address
920 Oliver Rd # a, Monroe, LA 71201-5702
Phone
(318) 361-2136
Fax
(318) 812-6338
Mailing address
130 Desiard St STE 355, Monroe, LA 71201-7363

Authorised official

Name
Janet L Justice
Title
Director of Operations
Phone
(318) 807-7875

Registered specialties

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Registry record

NPI
1053957944
Entity type
Organization
NPI issued
26 Nov 2019
Record last updated
26 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.