| Name: | North DeKalb Primary Care, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 May 2016 (9 years ago) (Companies founded in May 2016) |
| Entity Number: | 000-361-912 |
| Register Number: | 000361912 |
| ZIP code: | 35989 (Companies in De Kalb, 35989) |
| County: | De Kalb |
| Place of Formation: | DeKalb County |
| Registered Office Street Address: | 38109 U.S. HIGHWAY 11VALLEY HEAD, AL 35989 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851898449 | 2018-04-10 | 2023-04-17 | 38109 US HIGHWAY 11, VALLEY HEAD, AL, 359894432, US | 136 COMMERCE AVE, VALLEY HEAD, AL, 35989, US | |||||||||||||||||
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| Phone | +1 256-996-0540 |
| Phone | +1 256-674-1052 |
| Fax | 2566741054 |
Authorized person
| Name | MR. JOHN MOORE |
| Role | OWNER |
| Phone | 2569960540 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOORE, JOHN | Agent | 242 INVERNESS CENTER DRIVEBIRMINGHAM, AL 35242 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
