| Name: | Azzam Medical Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 11 Jul 2014 (10 years ago) (Companies founded in July 2014) |
| Entity Number: | 000-313-782 |
| Register Number: | 000313782 |
| ZIP code: | 35055 (Companies in Cullman, 35055) |
| County: | Cullman |
| Place of Formation: | Cullman County |
| Registered Office Street Address: | 101 1ST AVENUE NE SUITE 150CULLMAN, AL 35055 |
Activities
PROFESSIONAL MEDICAL SERVICES TO NURSING HOMES & SIMILAR FACILIT
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801203369 | 2014-07-16 | 2024-06-28 | PO BOX 361585, BIRMINGHAM, AL, 352361585, US | 2052 BLACKRIDGE RD, HOOVER, AL, 352445243, US | |||||||||||||||||||||
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| Fax | 8882988524 |
| Phone | +1 205-425-5241 |
| Fax | 2054266262 |
Authorized person
| Name | DR. MOHANNAD FADL AZZAM |
| Role | MEDICAL DIRECTOR |
| Phone | 3344142936 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WEATHERLY, JESSE O | Agent | 101 1ST AVE NE SUITE 150CULLMAN, AL 35055 |
| Name | Role | Address |
|---|---|---|
| AZZAM, MOHANNAD F | Organizer | 5331 SUMMER PLACE PARKWAYHOOVER, AL 35244 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
