| Name: | E A McCLESKEY, DO, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 05 Jan 2017 (8 years ago) |
| Entity Number: | 000-380-135 |
| Register Number: | 000380135 |
| County: | Madison |
| Place of Formation: | Limestone County |
| Registered Office Street Address: | 8331 MADISON BLVD STE 500MADISON, AL 35758 |
| Registered Office Street Address ZIP Code: | 35758 |
| Registered Office Mailing Address: | 12060 COUNTY LINE RD STE J-PMB 174MADISON, AL 35756 |
| Registered Office Mailing Address ZIP Code: | 35756 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386283471 | 2020-01-06 | 2020-01-06 | 103 INTERCOM DR STE B, MADISON, AL, 357582641, US | 103 INTERCOM DR STE B, MADISON, AL, 357582641, US | |||||||||||||||
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| Phone | +1 256-280-3990 |
| Fax | 2562803991 |
Authorized person
| Name | DR. ELIZABETH MCCLESKEY, DO |
| Role | MEMBER (OWNER) |
| Phone | 2562803990 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MCCLESKEY, ELIZABETH ANN | Organizer | 125 MILDRED WAYMADISON, AL 35756 |
| Name | Role |
|---|---|
| MCCLESKEY, ELIZABETH A | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
