Organization
AVALON MEDICAL LLC
Active
Other names
Sherman Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY PRATHER (BUSINESS MANAGER)
(662) 424-9550
Entity
Organization
Contact information
Practice address
608 HWY 178, SHERMAN, MS 38869
(662) 840-1230
Mailing address
1413 W QUITMAN ST, IUKA, MS 38852-1130
(662) 424-9550
(662) 424-9558
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/19/2010
Last updated
12/01/2010
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