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Baldwin County Cancer Center, LLC

Details

Name: Baldwin County Cancer Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 17 Jun 2014 (10 years ago) (Companies founded in June 2014)
Date of dissolution: 31 Jan 2020
Entity Number: 000-312-372
Register Number: 000312372
ZIP code: 36695 (Companies in Mobile, 36695)
County: Mobile
Place of Formation: Mobile County
Registered Office Street Address: 1717 SUGAR CANE CTMOBILE, AL 36695

Activities INVEST IN
MANAGE AND OPERATE MEDICAL PRACTICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215345723 2014-07-28 2014-08-19 808 MORPHY AVE, FAIRHOPE, AL, 365321908, US 808 MORPHY AVE, FAIRHOPE, AL, 365321908, US

Contacts

Phone +1 251-210-2961
Fax 2519904491

Authorized person

Name GREGORY W COTTER
Role SOLE MBR
Phone 2512102961

Taxonomy

Taxonomy Code 2085R0001X - Radiation Oncology Physician
License Number AL9773
State AL
Is Primary Yes

Agent

Name Role Address
COTTER, GREGORY W Agent 1717 SUGARCANE COURTMOBILE, AL 36695

Organizer

Name Role
SMITH, JAMES DALE Organizer

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State