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EXPRESS MED OF ALABAMA, LLC

Details

Name: EXPRESS MED OF ALABAMA, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 17 May 2016 (9 years ago) (Companies founded in May 2016)
Entity Number: 000-362-781
Register Number: 000362781
ZIP code: 35633 (Companies in Lauderdale, 35633)
County: Lauderdale
Place of Formation: Lauderdale County
Registered Office Street Address: 970 COX CREEK PKWYFLORENCE, AL 35633

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215185996 2008-09-05 2016-07-28 970 COX CREEK PKWY, FLORENCE, AL, 356331631, US 970 COX CREEK PKWY, FLORENCE, AL, 356331631, US

Contacts

Phone +1 256-760-1655
Fax 2567601699

Authorized person

Name EMILY S NEWTON
Role BILLING MANAGER
Phone 2567601655

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
State AL
Is Primary Yes

Agent

Name Role
GORDON, RACHEAL Agent

Date of last update: 04 Aug 2024

Sources: Alabama Secretary of State