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Cunningham Medical Group LLC

Details

Name: Cunningham Medical Group LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 02 Sep 2016 (8 years ago)
Entity Number: 000-371-066
Register Number: 000371066
County: Lee
Place of Formation: Lee County
Registered Office Street Address: 800 WILLIAM DROPELIKA, AL 36801
Registered Office Street Address ZIP Code: 36801

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861080269 2021-01-02 2024-05-30 609 LEE ROAD 2038, NOTASULGA, AL, 368662239, US 1100 S COLLEGE ST STE 108C, AUBURN, AL, 368327224, US

Contacts

Phone +1 256-263-0162
Phone +1 334-209-1061
Fax 3342091032

Authorized person

Name RICHARD RAY CUNNINGHAM
Role PHYSICIAN
Phone 2562630162

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role
CUNNINGHAM, PENNY Agent

Organizer

Name Role Address
LEGALZOOM.COM INC Organizer 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State