| Name: | PREMIER CHOICE MEDICAL, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Oct 2012 (12 years ago) |
| Entity Number: | 000-268-708 |
| Register Number: | 000268708 |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Registered Office Street Address: | 6925 COTTAGE HILL RD STE CMOBILE, AL 36695 |
| Registered Office Street Address ZIP Code: | 36695 |
Activities
OWN AND OPERATE A MEDICAL CLINIC
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477999381 | 2013-05-18 | 2013-05-18 | 6420 HILLCREST PARK CT, SUITE B, MOBILE, AL, 366952688, US | 6420 HILLCREST PARK CT, SUITE B, MOBILE, AL, 366952688, US | |||||||||||||||||||
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| Phone | +1 251-447-2953 |
| Fax | 2514472745 |
Authorized person
| Name | DR. CHYKEETRA S MALTBIA |
| Role | OWNER |
| Phone | 2514472953 |
Taxonomy
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| License Number | 29376 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MALTBIA, CHYKEETRA S | Agent | 1105 HILLCREST ROAD, SUITE AMOBILE, AL 36695 |
| Name | Role | Address |
|---|---|---|
| MALTBIA, CHYKEETRA S | Organizer | 1105 HILLCREST ROAD, SUITE AMOBILE, AL 36695 |
| IRBY, RUSSELL L III | Organizer | 1819 5TH AVENUE NORTH, SUITE 1000BIRMINGHAM, AL 35203 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
