Healthcare Provider Details

I. General information

NPI: 1366057986
Provider Name (Legal Business Name): AVALON FAMILY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2020
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 HUGHES RD STE 4
MADISON AL
35758-8959
US

IV. Provider business mailing address

540 HUGHES RD STE 4
MADISON AL
35758-8959
US

V. Phone/Fax

Practice location:
  • Phone: 256-456-5971
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CANDICE FINNILA
Title or Position: CO-OWNER
Credential:
Phone: 256-456-5971