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Bullock Immediate Care, LLC

Details

Name: Bullock Immediate Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 12 Oct 2010 (14 years ago)
Date of dissolution: 14 Dec 2018
Entity Number: 000-302-825
Register Number: 000302825
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 5303 VAUGHN RDMONTGOMERY, AL 36116
Registered Office Street Address ZIP Code: 36116

Activities MANAGE/LEASE/DEVELOP PROPERTY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235449422 2010-10-21 2010-10-21 5303 VAUGHN ROAD, MONTGOMERY, AL, 361161120, US 5303 VAUGHN ROAD, MONTGOMERY, AL, 361161120, US

Contacts

Phone +1 334-386-0343
Fax 3343860382

Authorized person

Name MRS. VICTORIA FRANCIS LAWRENSON
Role MANAGING PARTNER
Phone 3343860343

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes

Agent

Name Role Address
LAWRENSON, VICKI Agent 3170 PARLIAMENT CIRCLEMONTGOMERY, AL 36116

Member

Name Role
JACQUES JARRY FAMILY LIMITED Member
VICKI LAWRENSON FAMILY LIMITED Member

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State