| Name: | Birmingham Addiction Medicine, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 07 Oct 2010 (14 years ago) (Companies founded in October 2010) |
| Entity Number: | 000-302-678 |
| Register Number: | 000302678 |
| ZIP code: | 35244 (Companies in Jefferson, 35244) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | HOOVER, AL |
| Registered Office Street Address: | 1678 MONTGOMERY HWY STE 104 #244HOOVER, AL 35244 |
Activities
PRACTICE OF ADDICTION MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124328745 | 2010-10-29 | 2010-10-29 | PO BOX 1118, TRUSSVILLE, AL, 351736100, US | 2010 BROOKWOOD MEDICAL CTR DR, BIRMINGHAM, AL, 352096804, US | |||||||||||||||||||||||||||
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| Phone | +1 205-535-3140 |
| Fax | 2055353141 |
Authorized person
| Name | DR. TIMOTHY A GOODEN |
| Role | OWNER/PHYSICIAN |
| Phone | 2055353140 |
Taxonomy
| Taxonomy Code | 207RA0401X - Addiction Medicine (Internal Medicine) Physician |
| License Number | 27029 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | 27029 |
| State | AL |
| Is Primary | No |
| Name | Role |
|---|---|
| GOODEN, TIMOTHY A | Agent |
| Name | Role |
|---|---|
| GOODEN, TIMOTHY A | Member |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
