Name: | GMUC OF CITRONELLE, LLC. |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 30 Jan 2012 (13 years ago) (Companies founded in January 2012) |
Entity Number: | 000-039-273 |
Register Number: | 000039273 |
ZIP code: | 36695 (Companies in Mobile, 36695) |
County: | Mobile |
Place of Formation: | Mobile County |
Registered Office Street Address: | 2350 SCHILLINGER ROAD SUITE AMOBILE, AL 36695 |
Activities
DEAL IN/WITH MEDICAL SERVICES OF ALL KINDS
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1164794343 | 2012-02-02 | 2023-08-02 | 7943 MOFFETT RD, SEMMES, AL, 365755409, US | 19355 N 3RD ST, SUITE 104, CITRONELLE, AL, 365222049, US | |||||||||||||||||||
|
Phone | +1 251-633-0123 |
Fax | 2514453722 |
Authorized person
Name | DARREN K WATERS |
Role | MEDICAL DIRECTOR |
Phone | 2516330123 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
Is Primary | No |
Name | Role | Address |
---|---|---|
ROUSE, ROBERT H | Organizer | 2000 LACLEDE BUILDING, 150 GOVERNMENMOBILE, AL 36602-3935 |
WATERS, DARREN K | Organizer | 2350 SCHILLINGER ROAD S SUITE AMOBILE, AL 36695 |
Name | Role | Address |
---|---|---|
WATERS, DARREN K | Agent | 2350 SCHILLINGER ROAD S SUITE AMOBILE, AL 36695 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State