| Name: | Occmed South, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 07 May 2013 (12 years ago) (Companies founded in May 2013) |
| Entity Number: | 000-279-301 |
| Register Number: | 000279301 |
| ZIP code: | 36201 (Companies in Calhoun, 36201) |
| County: | Calhoun |
| Place of Formation: | Calhoun County |
| Registered Office Street Address: | 700 QUINTARD AVENUEANNISTON, AL 36201 |
Activities
GENERAL PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023458429 | 2013-06-28 | 2013-07-08 | PO BOX 457, ANNISTON, AL, 362020457, US | 700 QUINTARD AVE, SUITE B, ANNISTON, AL, 362015758, US | |||||||||||||||||||
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| Phone | +1 256-236-9400 |
| Fax | 2562381498 |
Authorized person
| Name | DONALD WAYNE CASEY |
| Role | MRO |
| Phone | 2562369400 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | DO-113 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PUMROY, JAY F | Organizer | 1431 LEIGHTON AVENUEANNISTON, AL 36207 |
| CASEY, DONALD W | Organizer | 700 QUINTARD AVENUEANNISTON, AL 36201 |
| Name | Role | Address |
|---|---|---|
| CASEY, DONALD W | Agent | 700 QUINTARD AVENUEANNISTON, AL 36201 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
