| Name: | ROGERSVILLE PEDIATRICS, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 16 Oct 2012 (12 years ago) (Companies founded in October 2012) |
| Entity Number: | 000-268-500 |
| Register Number: | 000268500 |
| ZIP code: | 35652 (Companies in Lauderdale, 35652) |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Registered Office Street Address: | 16023 HIGHWAY 72ROGERSVILLE, AL 35652 |
Activities
PEDIATRIC MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740543685 | 2012-06-15 | 2012-08-15 | 1120 S JACKSON HWY, SUITE 304, SHEFFIELD, AL, 356605777, US | 16023 HIGHWAY 72, ROGERSVILLE, AL, 356528141, US | |||||||||||||
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| Phone | +1 256-386-4151 |
Authorized person
| Name | REBECCA THOMPSON |
| Role | CRNP/ OFFICE MANAGER |
| Phone | 2563864151 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RIVAS, AUGUSTINE | Agent | 1120 S JACKSON HIGHWAY SUITE 304SHEFFIELD, AL 35660 |
| Name | Role | Address |
|---|---|---|
| RIVAS, AUGUSTINE | Organizer | 1120 S JACKSON HIGHWAY SUITE 304SHEFFIELD, AL 35660 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
