| Name: | Scott D. Parker, MD, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 28 Feb 2014 (11 years ago) (Companies founded in February 2014) |
| Entity Number: | 000-298-480 |
| Register Number: | 000298480 |
| ZIP code: | 35803 (Companies in Madison, 35803) |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 2517 CLIFTON DRIVE SEHUNTSVILLE, AL 35803 |
Activities
PROFESSIONAL MEDICAL SERVICES AND SERVICES ANCILLARY TO THEM
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750707824 | 2014-03-12 | 2024-06-28 | 250 CHATEAU DR SW STE 115, HUNTSVILLE, AL, 358013497, US | 250 CHATEAU DR SW STE 115, HUNTSVILLE, AL, 358013497, US | |||||||||||||||||||||
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| Phone | +1 256-533-4645 |
| Fax | 2568083178 |
Authorized person
| Name | SCOTT D PARKER |
| Role | MD/OWNER |
| Phone | 2565334645 |
Taxonomy
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1992716120 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| PARKER, SCOTT D | Agent | 2517 CLIFTON DRIVE SEHUNTSVILLE, AL 35803 |
| Name | Role | Address |
|---|---|---|
| PARKER, SCOTT D | Organizer | 2517 CLIFTON DRIVE SEHUNTSVILLE, AL 35803 |
| TATUM, WILLIAM B | Organizer | 301 RANDOLPH AVENUE SEHUNTSVILLE, AL 35801 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
