| Name: | MONICA HANDY CRAWFORD, MD , LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 22 Dec 2016 (8 years ago) |
| Entity Number: | 000-379-402 |
| Register Number: | 000379402 |
| County: | Calhoun |
| Place of Formation: | Calhoun County |
| Registered Office Street Address: | 801 NOBLE ST SUITE 1022ANNISTON, AL 36201 |
| Registered Office Street Address ZIP Code: | 36201 |
| Registered Office Mailing Address: | PO BOX 8133ANNISTON, AL 36202 |
| Registered Office Mailing Address ZIP Code: | 36202 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154833689 | 2017-10-24 | 2017-10-24 | PO BOX 8133, ANNISTON, AL, 362028133, US | 801 NOBLE ST STE 1022, ANNISTON, AL, 362015698, US | |||||||||||||||||||||||
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| Phone | +1 256-239-5554 |
| Fax | 2565137116 |
Authorized person
| Name | MONICA HANDY CRAWFORD |
| Role | DOCTOR |
| Phone | 2562395554 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 117849 |
| State | AL |
| Name | Role |
|---|---|
| CRAWFORD, MONICA H | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
