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Calvin L. Reid Geriatric Services, LLC

Details

Name: Calvin L. Reid Geriatric Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 23 Mar 2016 (9 years ago) (Companies founded in March 2016)
Date of dissolution: 13 Feb 2017
Entity Number: 000-357-424
Register Number: 000357424
ZIP code: 36303 (Companies in Houston, 36303)
County: Houston
Place of Formation: Houston County
Registered Office Street Address: 636 WESTWOOD ROADDOTHAN, AL 36303

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427411347 2016-03-29 2016-03-29 636 WESTWOOD RD, DOTHAN, AL, 363032928, US 636 WESTWOOD RD, DOTHAN, AL, 363032928, US

Contacts

Phone +1 334-793-5074
Fax 3347936460

Authorized person

Name CALVIN L REID
Role MANAGING MEMBER
Phone 3347935074

Taxonomy

Taxonomy Code 207RG0300X - Geriatric Medicine (Internal Medicine) Physician
License Number 9359
State AL
Is Primary Yes

Organizer

Name Role Address
LUMBATIS, ALLISON R Organizer 360 NORTH OATES STDOTHAN, AL 36303

Agent

Name Role
REID, CALVIN L Agent

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State