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Foot Specialists of Alabama LLC

Details

Name: Foot Specialists of Alabama LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 04 Aug 2016 (8 years ago) (Companies founded in August 2016)
Entity Number: 000-369-219
Register Number: 000369219
ZIP code: 35957 (Companies in Marshall, 35957)
County: Marshall
Place of Formation: Marshall County
Registered Office Street Address: 601A CORLEY AVENUEBOAZ, AL 35957

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962136457 2022-07-12 2023-09-29 7633 AL HIGHWAY 69, GUNTERSVILLE, AL, 359767137, US 7633 AL HIGHWAY 69, GUNTERSVILLE, AL, 359767137, US

Contacts

Phone +1 256-571-8750
Fax 2565718767

Authorized person

Name DUSTIN JOHN GRIMMETT
Role OWNER-DPM
Phone 2565718750

Taxonomy

Taxonomy Code 213ES0103X - Foot & Ankle Surgery Podiatrist
Is Primary Yes

Agent

Name Role
GRIMMETT, DUSTIN Agent

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State