NPI | 1316418262 |
---|---|
Former Legal Business Name | AFFINITY MEDICAL GROUP LLC |
Entity Type | Organization |
Authorized Contact | LINDSEY D BUFFORD Owner/Manager 337-573-0345 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2018-12-17 |
Last Update Date | 2019-04-05 |