| Name: | SCOTTSBORO URGENT CARE, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 10 Sep 2013 (11 years ago) |
| Entity Number: | 000-286-923 |
| Register Number: | 000286923 |
| County: | Jackson |
| Place of Formation: | Jackson County |
| Principal Address: | 102 MICAH WAY STE 1107SCOTTSBORO, AL 35769 |
| Principal Address ZIP Code: | 35769 |
| Registered Office Street Address: | 126 E PEACHTREE STREETSCOTTSBORO, AL 35768 |
| Registered Office Street Address ZIP Code: | 35768 |
Activities
PERFORM MEDICAL TREATMENT
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205267150 | 2013-12-03 | 2021-12-17 | 102 MICAH WAY, SUITE 1107, SCOTTSBORO, AL, 357694160, US | 102 MICAH WAY, SUITE 1107, SCOTTSBORO, AL, 357694160, US | |||||||||||||||||
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| Phone | +1 256-259-4802 |
| Fax | 2562183536 |
Authorized person
| Name | KAREN GRIDER |
| Role | DIRECTOR OF PHYSICIAN SERVICES |
| Phone | 2562183856 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| LACKEY, GARY W | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
