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Woodstock Medical, LLC

Details

Name: Woodstock Medical, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 24 Oct 2012 (12 years ago)
Entity Number: 000-269-050
Register Number: 000269050
County: Calhoun
Place of Formation: Calhoun County
Principal Address: 409 10TH STREETANNISTON, AL 36207
Principal Address ZIP Code: 36207
Registered Office Street Address: 8 SUNSET DRIVEANNISTON, AL 36207
Registered Office Street Address ZIP Code: 36207

Activities SURGICAL MEDICAL CLINIC AND PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518170133 2007-05-08 2012-12-30 409 E 10TH ST, SUITE 100, ANNISTON, AL, 362074781, US 409 E 10TH ST, SUITE 100, ANNISTON, AL, 362074781, US

Contacts

Phone +1 256-236-1300
Fax 2562360254

Authorized person

Name DR. ROBERT BRYAN FREEMAN
Role PRESIDENT
Phone 2562361300

Taxonomy

Taxonomy Code 208600000X - Surgery Physician
License Number 12210
State AL
Is Primary Yes

Agent

Name Role Address
FREEMAN, BRYAN Agent 8 SUNSET DRIVEANNISTON, AL 36207

Organizer

Name Role Address
FREEMAN, BRYAN Organizer 8 SUNSET DRIVEANNISTON, AL 36207

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State