| Name: | Family Medicine of Cullman, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Series Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 21 Jul 2017 (7 years ago) (Companies founded in July 2017) |
| Date of dissolution: | 15 Mar 2021 |
| Entity Number: | 000-397-682 |
| Register Number: | 000397682 |
| ZIP code: | 35976 (Companies in Marshall, 35976) |
| County: | Marshall |
| Place of Formation: | Marshall County |
| Registered Office Street Address: | 1321 GUNTER AVEGUNTERSVILLE, AL 35976 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043735707 | 2017-08-03 | 2022-07-21 | 1900 MAIN AVE SW, CULLMAN, AL, 350557200, US | 1900 MAIN AVE SW, CULLMAN, AL, 350557200, US | |||||||||||||
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| Phone | +1 256-642-9821 |
Authorized person
| Name | ED HENRY |
| Role | MEMBER |
| Phone | 2566429821 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LONG, WES | Agent | 1321 GUNTER AVEGUNTERSVILLE, AL 35976 |
| Name | Role | Address |
|---|---|---|
| LONG, WES | Organizer | 1321 GUNTER AVEGUNTERSVILLE, AL 35976 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
