| Name: | Ricky Tubbs, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 06 Jan 2012 (13 years ago) |
| Entity Number: | 000-036-017 |
| Register Number: | 000036017 |
| County: | Talladega |
| Place of Formation: | Talladega County |
| Principal Address: | 1122 SHADY LANE CIRTALLADEGA, AL 35160 |
| Principal Address ZIP Code: | 35160 |
Activities
PROVIDE MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144627126 | 2014-11-19 | 2014-11-19 | 1122 SHADY LANE CIR, TALLADEGA, AL, 351602941, US | 613 MARTIN ST N, SUITE 300, PELL CITY, AL, 351251333, US | |||||||||||||||||
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| Phone | +1 256-640-0416 |
| Fax | 2562687152 |
| Phone | +1 256-368-1509 |
Authorized person
| Name | DR. RICKY BRIAN TUBBS |
| Role | PHYSICIAN |
| Phone | 2563681509 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GAINES, CHARLES P | Organizer | 127 NORTH STTALLADEGA, AL 35160 |
| TUBBS, DENISE | Organizer | 1122 SHADY LANE CIRTALLADEGA, AL 35160 |
| TUBBS, RICKY | Organizer | 1122 SHADY LANE CIRTALLADEGA, AL 35160 |
| Name | Role | Address |
|---|---|---|
| TUBBS, RICKY | Agent | 1122 SHADY LANE CIRTALLADEGA, AL 35160 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
