NPI 1003118316 · live from the CMS NPI Registry
Avalon Medical LLC
Family Medicine in Sherman, MS. National Provider Identifier 1003118316, active.
NPI record
| NPI | 1003118316 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 608 Hwy 178, Sherman, MS 38869 |
| Practice phone | 662-840-1230 |
| Mailing address | 1413 W Quitman St, Iuka, MS 38852 |
| Enumerated | November 19, 2010 |
| Last updated | December 1, 2010 |
| Authorized official | Anthony Prather, Business Manager |
| Other names | Sherman Family Clinic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.