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Legacy Medical Care, LLC

Details

Name: Legacy Medical Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 11 Feb 2011 (14 years ago)
Entity Number: 000-003-553
Register Number: 000003553
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 805 MADISON STREET SUITE 2BHUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801

Activities MEDICAL OFFICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033400254 2011-04-21 2011-04-21 805 MADISON ST SE, SUITE 2B, HUNTSVILLE, AL, 358014419, US 805 MADISON ST SE, SUITE 2B, HUNTSVILLE, AL, 358014419, US

Contacts

Phone +1 256-533-8408
Fax 2565338409

Authorized person

Name NICOLE D. SCRUGGS
Role PHYSICIAN
Phone 2565338408

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
SCRUGGS, NICOLE Agent 309 BRASFIELD DRHUNTSVILLE, AL 35806

Organizer

Name Role Address
SCRUGGS, NICOLE Organizer 309 BRASFIELD DRHUNTSVILLE, AL 35806

Date of last update: 29 Jul 2024

Sources: Alabama Secretary of State