| Name: | Eric B. Wells, MD, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 Jul 2011 (13 years ago) |
| Entity Number: | 000-020-397 |
| Register Number: | 000020397 |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 207A LONGWOOD DRIVEHUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376820050 | 2011-11-09 | 2014-06-10 | 207A LONGWOOD DR SW, HUNTSVILLE, AL, 358015243, US | 207A LONGWOOD DR SW, HUNTSVILLE, AL, 358015243, US | |||||||||||||||||||
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| Phone | +1 256-489-6501 |
| Fax | 2564896503 |
Authorized person
| Name | DR. ERIC WELLS |
| Role | PHYSICIAN |
| Phone | 2564896501 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | MD31199 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| WELLS, ERIC B | Agent |
| Name | Role | Address |
|---|---|---|
| WELLS, ERIC B MD | Organizer | 250 CHATEAU DR STE 160HUNTSVILLE, AL 35801 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
