NPI 1710216346 · live from the CMS NPI Registry
Avalon Medical LLC
Family Medicine in Iuka, MS. National Provider Identifier 1710216346, active.
NPI record
| NPI | 1710216346 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1413 W Quitman St, Iuka, MS 38852 |
| Practice phone | 662-424-9550 |
| Enumerated | December 10, 2009 |
| Last updated | October 18, 2011 |
| Authorized official | Tommy Draper, Member |
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.