Affinity Health Group

NPI 1093991473 - Optometrist - 152W00000X

NPI Details
NPI 1093991473
Enumeration Date 01/15/2008
Last Updated 06/13/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MICHAEL R MICHAEL
Position ADMINISTRATOR
Phone (229) 391-4100
Fax (229) 391-4508
Practice Location
4380 KINGS WAY
VALDOSTA GA, 31602-6921, US
Phone (229) 391-4100
Fax (229) 391-4508
Business Location
2225 US HWY 41 N
TIFTON GA, 31794, US
Phone (229) 391-4100
Fax (229) 391-4508
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Affinity Health Group NPI is 1093991473, taxonomy code is 152W00000X Affinity Health Group physically located at 4380 Kings Way, Valdosta GA, 31602-6921. NPI Number 1033115704 has the healthcare provider type.

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1093991473 NPI number is provided on an as is basis without warranty of any kind. 1093991473 is maintained by the National Plan & Provider Enumeration System. The contents of Affinity Health Group are for informational purposes only.