| NPI | 1053957944 |
|---|---|
| Doing Business As | AFFINITY DERMATOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JANET L JUSTICE Director Of Operations 318-807-7875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |