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AB Physiatry, LLC

Details

Name: AB Physiatry, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Series Ltd. Liability Company
Status: Exists
Date of registration: 09 May 2017 (8 years ago) (Companies founded in May 2017)
Entity Number: 000-390-971
Register Number: 000390971
Historical Names: Andrew F. Barranco, MD, LLC
ZIP code: 36109 (Companies in Montgomery, 36109)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 3815 INTERSTATE COURTMONTGOMERY, AL 36109

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033647045 2017-06-03 2023-08-15 3800 RIDGEWAY DR, BIRMINGHAM, AL, 352095506, US 3800 RIDGEWAY DR, BIRMINGHAM, AL, 352095506, US

Contacts

Phone +1 205-514-1122

Authorized person

Name ANDREW BARRANCO
Role PHYSICIAN
Phone 2055141122

Taxonomy

Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
Is Primary Yes

Agent

Name Role
BARRANCO, STEVE Agent

Organizer

Name Role Address
JOHNSON, D KYLE Organizer 150 S PERRY STMONTGOMERY, AL 36104

Events

Event Date Event Type Old Value New Value
2017-05-16 Name Change Andrew F. Barranco, MD, LLC AB Physiatry, LLC

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State