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
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
FREEMAN, BRYAN | Agent | 8 SUNSET DRIVEANNISTON, AL 36207 |
Name | Role | Address |
---|---|---|
FREEMAN, BRYAN | Organizer | 8 SUNSET DRIVEANNISTON, AL 36207 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State