| 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) |
| Date of dissolution: | 10 Jul 2013 |
| Entity Number: | 000-303-947 |
| Register Number: | 000303947 |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Principal Address: | HARPERSVILLE, AL |
| Registered Office Street Address: | 34 TOWN HALL LANEHARPERSVILLE, AL 35078 |
| Registered Office Street Address ZIP Code: | 35078 |
Activities
PROFESSIONAL MEDICAL SERVICES
| 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 | |||||||||||||||||
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| 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 |
| Name | Role |
|---|---|
| CROW, CHARLES B III | Member |
| Name | Role |
|---|---|
| CROW, CHARLES B III | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
