| NPI | 1184485070 |
|---|---|
| Doing Business As | AVALON MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY GRIFFIN Owner 662-279-0599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-01-18 |