Avalon Medical LLC

NPI #1710216346 in Iuka, Mississippi

Provider Information

NPI Number: 1710216346
Entity Type: Organization
Organization Name: Avalon Medical LLC
Primary Specialty: Family Medicine
Enumeration Date: Dec 10, 2009
Last Updated: Oct 18, 2011

Practice Location

Address: 1413 W QUITMAN ST
City: Iuka
State: Mississippi
ZIP Code: 38852-1130
Phone: (662) 424-9550

Authorized Official

Name: TOMMY DRAPER
Title: MEMBER
Phone: (662) 424-9550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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