| Name: | Shield Medical LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 07 May 2014 (10 years ago) |
| Date of dissolution: | 29 Apr 2016 |
| Entity Number: | 000-309-258 |
| Register Number: | 000309258 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | 1230 SLAUGHTER RD STE BMADISON, AL 35758 |
| Principal Address ZIP Code: | 35758 |
Activities
ALL LAWFUL BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508270349 | 2014-06-19 | 2014-06-19 | 510 LORNA SQ, HOOVER, AL, 352165480, US | 1230 SLAUGHTER RD STE B, MADISON, AL, 357585901, US | |||||||||||||||||||
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| Phone | +1 877-225-3542 |
| Fax | 8776389903 |
| Phone | +1 256-722-0555 |
| Fax | 2568305135 |
Authorized person
| Name | CHAD J GILLIAM |
| Role | OWNER |
| Phone | 2567220555 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GILLIAM, CHAD | Agent | 1230 SLAUGHTER RD STE BMADISON, AL 35758 |
| Name | Role | Address |
|---|---|---|
| GILLIAM, CHAD | Organizer | 1230 SLAUGHTER RD STE BMADISON, AL 35758 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
