| Name: | Harrison Medical Consulting, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 Aug 2016 (8 years ago) |
| Entity Number: | 000-368-770 |
| Register Number: | 000368770 |
| County: | Cullman |
| Place of Formation: | Cullman County |
| Registered Office Street Address: | 146 AUGUSTA TRAILCULLMAN, AL 35057 |
| Registered Office Street Address ZIP Code: | 35057 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508407990 | 2019-10-07 | 2023-11-20 | 146 AUGUSTA TRL, CULLMAN, AL, 350576990, US | 146 AUGUSTA TRL, CULLMAN, AL, 350576990, US | |||||||||||||||
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| Phone | +1 256-338-4550 |
| Phone | +1 256-338-9175 |
Authorized person
| Name | PAM PIPER |
| Role | CREDENTIALING/BILLING |
| Phone | 2567378000 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| HARRISON, ADAM C DO | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
