| NPI | 1457822991 |
|---|---|
| Doing Business As | AFFINITY CLINIC AT OLIVER ROAD |
| Entity Type | Organization |
| Authorized Contact | JANET L JUSTICE Director Of Operations 318-807-7875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |