| Name: | Wiregrass Wound Care Consultants LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 Oct 2013 (11 years ago) |
| Entity Number: | 000-288-935 |
| Register Number: | 000288935 |
| County: | Henry |
| Place of Formation: | Henry County |
| Registered Office Street Address: | 1833 COUNTY ROAD 133ABBEVILLE, AL 36310 |
| Registered Office Street Address ZIP Code: | 36310 |
Activities
MEDICAL SERVICES & ALL LAWFUL BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003245838 | 2013-11-02 | 2013-12-09 | 725 N HIGHWAY A1A, SUITE C112-113, JUPITER, FL, 334774571, US | 1908 FAIRVIEW AVE, DOTHAN, AL, 363013008, US | |||||||||||||||||||||||
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| Phone | +1 561-578-8407 |
| Fax | 5615788099 |
| Phone | +1 251-295-2815 |
| Fax | 2512952815 |
Authorized person
| Name | DR. JEFFREY HERBERT FADIL |
| Role | PHYSICIAN |
| Phone | 2512952815 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 29664 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| FADIL, JEFFREY H | Agent |
| Name | Role | Address |
|---|---|---|
| FADIL, JEFFREY H | Organizer | No data |
| LUMBATIS, ALLISON REID | Organizer | 360 NORTH OATES STREETDOTHAN, AL 36303 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
