| Name: | AUTAUGA MEDICAL CLINIC, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 28 Feb 2011 (14 years ago) |
| Entity Number: | 000-005-467 |
| Register Number: | 000005467 |
| County: | Autauga |
| Place of Formation: | Autauga County |
| Registered Office Street Address: | 203 S WASHINGTON STREETAUGAUGAVILLE, AL 36003 |
| Registered Office Street Address ZIP Code: | 36003 |
Activities
HEALTHCARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821396482 | 2011-03-07 | 2011-04-20 | PO BOX 490, AUTAUGAVILLE, AL, 360030490, US | 201 S WASHINGTON ST STE A, AUTAUGAVILLE, AL, 360032535, US | |||||||||||||||
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| Phone | +1 334-361-9979 |
| Fax | 3343617858 |
Authorized person
| Name | MR. JAMES G FAULK |
| Role | CEO |
| Phone | 3343619979 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FAULK, GORDON | Agent | 222 SHADY VALLEY ROADAUTAUGAVILLE, AL 36003 |
| Name | Role |
|---|---|
| CARTER, LEE | Member |
| Name | Role | Address |
|---|---|---|
| FAULK, GORDON | Organizer | 222 SHADY VALLEY ROADAUTAUGAVILLE, AL 36003 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
