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AVALON MEDICAL LLC

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Company Details

Name: AVALON MEDICAL LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Revoked
Effective Date: 12 Jan 2015 (11 years ago)
Business ID: 1058686
State of Incorporation: NEW JERSEY
Principal Office Address: 1317 Route 73, Suite108Mount Laurel, NJ 08054
Fictitious names: AVALON MEDICAL LLC

Agent

Name Role Address
Jennifer Young Agent 110 Legacy Drive, Brandon, MS 39042

Member

Name Role Address
Michael Covone Member 1317 Route 73, Suite 108, Mount Laurel, NJ 08054

National Provider Identifier

NPI Number:
1003118316

Authorized Person:

Name:
ANTHONY PRATHER
Role:
BUSINESS MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6624249558

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2016-11-30 Admin Dissolution
Notice to Dissolve/Revoke Filed 2016-09-06 Notice to Dissolve/Revoke
Formation Form Filed 2015-01-12 Formation For AVALON MEDICAL LLC

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$28,320.73
Date Approved:
2021-04-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$28,320.73
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$28,571.35
Servicing Lender:
Guaranty Bank & Trust Company
Use of Proceeds:
Payroll: $28,315.73
Utilities: $1
Jobs Reported:
4
Initial Approval Amount:
$28,300
Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$28,300
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
$28,614.79
Servicing Lender:
Guaranty Bank & Trust Company
Use of Proceeds:
Payroll: $28,300

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Date of last update: 03 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website