# AVALON MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sherman Family Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003118316
- **Authorized official:** ANTHONY PRATHER (BUSINESS MANAGER)
- **Authorized official phone:** (662) 424-9550

## Contact information

- **Practice address:** 608 HWY 178, SHERMAN, MS 38869
- **Practice address phone:** (662) 840-1230
- **Mailing address:** 1413 W QUITMAN ST, IUKA, MS 38852-1130
- **Mailing address phone:** (662) 424-9550
- **Mailing address fax:** (662) 424-9558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2010
- **Last updated:** 12/01/2010