| Name: | Retna A. Billano, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 04 Sep 2014 (10 years ago) |
| Entity Number: | 000-317-851 |
| Register Number: | 000317851 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | 840 MONTEVALLO ROAD SUITE 327BIRMINGHAM, AL 35213 |
| Principal Address ZIP Code: | 35213 |
Activities
DERMATOLOGY MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831555218 | 2016-01-14 | 2023-02-28 | 4325 DOLLY RIDGE ROAD, BIRMINGHAM, AL, 352435701, US | 4325 DOLLY RIDGE ROAD, BIRMINGHAM, AL, 352435701, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 205-591-2169 |
| Fax | 2055910815 |
Authorized person
| Name | DR. RETNA A BILLANO |
| Role | OWNER/PHYSICIAN |
| Phone | 2055912169 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| License Number | 16012301 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BILLANO, RETNA A | Agent | 840 MONTEVALLO ROAD SUITE 327BIRMINGHAM, AL 35213 |
| Name | Role | Address |
|---|---|---|
| BILLANO, RETNA A | Organizer | 840 MONTEVALLO ROAD SUITE 327BIRMINGHAM, AL 35213 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
