Organization
AVALON SURGICAL,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID PARKS MCKINLEY M.D., (PRESIDENT)
(256) 381-0030
Entity
Organization
Contact information
Practice address
1120 S JACKSON HWY STE 307, SHEFFIELD, AL 35660-5773
(256) 381-0030
(256) 383-0764
Mailing address
PO BOX 298, SHEFFIELD, AL 35660-0298
(256) 381-0030
(256) 383-0764
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5762
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00780
FIRSTCOMMUNITY
AL
01
—
10912029
CAQH
AL
01
—
17-00656
UNITEDHEALTHCARE
AL
05
—
529926920
—
AL
01
—
DD6002
METRAHEALTH/RAILROAD
AL
Enumeration date
03/04/2008
Last updated
07/16/2013
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