| Name: | Twilight Medical Clinic LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 14 Oct 2015 (9 years ago) (Companies founded in October 2015) |
| Entity Number: | 000-347-329 |
| Register Number: | 000347329 |
| ZIP code: | 35613 (Companies in Limestone, 35613) |
| County: | Limestone |
| Place of Formation: | Limestone County |
| Registered Office Street Address: | 17037 FOREST HILLS DRATHENS, AL 35613 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518330414 | 2015-11-02 | 2024-02-29 | 22270 US HIGHWAY 72 STE A, ATHENS, AL, 356132604, US | 22270 US HIGHWAY 72 STE A, ATHENS, AL, 356132604, US | |||||||||||||||||||
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| Phone | +1 256-998-5120 |
| Fax | 2569985122 |
Authorized person
| Name | MR. STANLEY FARRELL SMALLWOOD |
| Role | NURSE PRACTITIONER |
| Phone | 2569985120 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | 1-088147 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SMALLWOOD, RACHEL G | Agent |
| Name | Role | Address |
|---|---|---|
| MOSELEY, CHEYENNE | Organizer | 9900 SPECTRUM DRIVEAUSTIN, TX 78717 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
