| Name: | Stewart H. Tankersley, MD, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 05 Apr 2012 (13 years ago) |
| Entity Number: | 000-049-558 |
| Register Number: | 000049558 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | 2432 HAWTHORN DRIVEMONTGOMERY, AL 36111 |
| Principal Address ZIP Code: | 36111 |
| Principal Mailing Address: | PO BOX 11386MONTGOMERY, AL 36111 |
| Principal Mailing Address ZIP Code: | 36111 |
Activities
OWNING
OPERATING AND MANAGING A MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093068900 | 2012-10-17 | 2012-12-05 | 2432 HAWTHORN DR, MONTGOMERY, AL, 361111617, US | 1758 PARK PL, SUITE 200, MONTGOMERY, AL, 361061127, US | |||||||||||||
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| Phone | +1 334-538-9695 |
Authorized person
| Name | STEWART TANKERSLEY |
| Role | MD |
| Phone | 3345389695 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TANKERSLEY, STEWART H | Agent | 2432 HAWTHORN DRIVEMONTGOMERY, AL 36111 |
| Name | Role | Address |
|---|---|---|
| TANKERSLEY, STEWART H | Organizer | 2432 HAWTHORN DRIVEMONTGOMERY, AL 36111 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
