NPI 1003118316

Avalon Medical LLC

Organisation Family Medicine Physician Sherman, MS

Practice location

Address: 608 Hwy 178, Sherman, MS 38869
Phone: (662) 840-1230
Mailing address: 1413 W Quitman St, Iuka, MS 38852-1130

Authorised official

Name: Anthony Prather
Title: Business Manager
Phone: (662) 424-9550

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Mississippi →

Registry record

NPI: 1003118316
Entity type: Organization
NPI issued: 19 Nov 2010
Record last updated: 1 Dec 2010

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.