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Russellville Physicians, LLC

Details

Name: Russellville Physicians, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 09 Dec 2014 (10 years ago)
Entity Number: 000-323-635
Register Number: 000323635
County: Montgomery
Place of Formation: Tennessee
Principal Address: 121 Leinart StClinton, TN 37716
Registered Office Street Address: 2527 College StMontgomery, AL 36106
Registered Office Street Address ZIP Code: 36106

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669861662 2015-01-13 2015-01-13 15225 HIGHWAY 43, RUSSELLVILLE, AL, 356531999, US 15225 HIGHWAY 43, RUSSELLVILLE, AL, 356531999, US

Contacts

Phone +1 256-331-1900
Fax 2563311901

Authorized person

Name STEVE CLAPP
Role PRESIDENT
Phone 8652694074

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role
Gewin, Murfee Agent

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State