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Wellness Walk-In Clinic, LLC

Details

Name: Wellness Walk-In Clinic, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 19 Aug 2015 (9 years ago) (Companies founded in August 2015)
Entity Number: 000-342-758
Register Number: 000342758
ZIP code: 35645 (Companies in Lauderdale, 35645)
County: Lauderdale
Place of Formation: Lauderdale County
Registered Office Street Address: 7720 COUNTY ROAD 94KILLEN, AL 35645

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235501891 2015-10-22 2015-10-22 2612 HOUGH ROAD, FLORENCE, AL, 35630, US 2612 HOUGH ROAD, FLORENCE, AL, 35630, US

Contacts

Phone +1 931-629-0010

Authorized person

Name MS. VICTORIA PARK COX
Role NURSE PRACTITIONER/OWNER
Phone 9316290010

Taxonomy

Taxonomy Code 363LF0000X - Family Nurse Practitioner
State AL
Is Primary Yes

Agent

Name Role
PENNINGTON, MELISSA Agent

Organizer

Name Role
PENNINGTON, MELISSA Organizer

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State