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
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 | |||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
SCRUGGS, NICOLE | Agent | 309 BRASFIELD DRHUNTSVILLE, AL 35806 |
Name | Role | Address |
---|---|---|
SCRUGGS, NICOLE | Organizer | 309 BRASFIELD DRHUNTSVILLE, AL 35806 |
Date of last update: 29 Jul 2024
Sources: Alabama Secretary of State