| Name: | Integrative Family Medicine, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 14 Dec 2016 (8 years ago) (Companies founded in December 2016) |
| Entity Number: | 000-378-791 |
| Register Number: | 000378791 |
| ZIP code: | 35501 (Companies in Walker, 35501) |
| County: | Walker |
| Place of Formation: | Walker County |
| Registered Office Street Address: | 260 3RD AVENUE SOUTHJASPER, AL 35501 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841734456 | 2016-12-15 | 2019-10-01 | 426 SCHOOL ST, CORDOVA, AL, 355506000, US | 426 SCHOOL ST, CORDOVA, AL, 355506000, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 205-483-8140 |
| Fax | 2054838144 |
Authorized person
| Name | ANDREA D BOYERS |
| Role | PRACTICE ADMINISTRATOR |
| Phone | 2054838140 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TWILLEY, SCOTTIE L | Organizer | 426 SCHOOL STREETCORDOVA, AL 35550 |
| Name | Role | Address |
|---|---|---|
| CARMICHAEL, THOMAS L | Agent | 301 NORTH WALSTON BRIDGE RD STE100JASPER, AL 35504 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
