| Name: | BESSEMER FAMILY FOOT CLINIC, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 Jul 2015 (9 years ago) (Companies founded in July 2015) |
| Entity Number: | 000-340-798 |
| Register Number: | 000340798 |
| ZIP code: | 35020 (Companies in Jefferson, 35020) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 1721 4TH AVENUE NORTHBESSEMER, AL 35020 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043756513 | 2017-01-09 | 2017-01-09 | 1721 4TH AVE N, BESSEMER, AL, 350204838, US | 1721 4TH AVE N, BESSEMER, AL, 350204838, US | |||||||||||||||||||||||
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| Phone | +1 205-424-2540 |
Authorized person
| Name | DR. CYNTHIA HOBDY |
| Role | PODIATRIST |
| Phone | 2054242540 |
Taxonomy
| Taxonomy Code | 213ES0131X - Foot Surgery Podiatrist |
| License Number | 00174 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009912146MCD |
| State | AL |
| Name | Role | Address |
|---|---|---|
| HOBDY, CYNTHIA | Organizer | 4961 FLETCHER ROADBESSEMER, AL 35020 |
| Name | Role | Address |
|---|---|---|
| HOBDY, CYNTHIA | Agent | 4961 FLETCHER ROADBESSEMER, AL 35020 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
