Name: | Center Point Medical LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Series Limited Liability Company |
Status: | Exists |
Date of registration: | 13 Apr 2017 (8 years ago) (Companies founded in April 2017) |
Entity Number: | 000-389-141 |
Register Number: | 000389141 |
ZIP code: | 35975 (Companies in De Kalb, 35975) |
County: | De Kalb |
Place of Formation: | Marshall County |
Registered Office Street Address: | 587 GODWIN DRIVEGROVE OAK, AL 35975 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1336662287 | 2017-07-24 | 2018-06-16 | 587 GODWIN DR, GROVEOAK, AL, 359756010, US | 151 WOODHAM DR, ALBERTVILLE, AL, 359513301, US | |||||||||||||||||||||||||
|
Phone | +1 256-505-6826 |
Fax | 2565712862 |
Authorized person
Name | ANDREW R CHRISTIE |
Role | OWNER/PHYSICIAN |
Phone | 2565056826 |
Taxonomy
Taxonomy Code | 208D00000X - General Practice Physician |
License Number | DO1410 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | AL MEDICAL LICENSE |
Number | DO1410 |
State | AL |
Name | Role |
---|---|
CHRISTIE, ANDREW | Agent |
Name | Role |
---|---|
CHRISTIE, ANDREW | Organizer |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State