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Charles B Crow III MD LLC

Details

Name: Charles B Crow III MD LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 05 Nov 2010 (14 years ago) (Companies founded in November 2010)
Date of dissolution: 10 Jul 2013
Entity Number: 000-303-947
Register Number: 000303947
ZIP code: 35078 (Companies in Shelby, 35078)
County: Shelby
Place of Formation: Shelby County
Principal Address: HARPERSVILLE, AL
Registered Office Street Address: 34 TOWN HALL LANEHARPERSVILLE, AL 35078

Activities PROFESSIONAL MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437459179 2010-10-28 2010-10-28 34 TOWN HALL LN, HARPERSVILLE, AL, 350784718, US 34 TOWN HALL LN, HARPERSVILLE, AL, 350784718, US

Contacts

Phone +1 205-672-2401

Authorized person

Name CHARLES B CROW III
Role OWNER
Phone 2056722401

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number 7326
State AL
Is Primary Yes

Member

Name Role
CROW, CHARLES B III Member

Agent

Name Role
CROW, CHARLES B III Agent

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State