Search icon

Lamar Medical Clinic, LLC

Details

Name: Lamar Medical Clinic, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 21 Sep 2017 (7 years ago) (Companies founded in September 2017)
Entity Number: 000-403-612
Register Number: 000403612
ZIP code: 35592 (Companies in Lamar, 35592)
County: Lamar
Place of Formation: Lamar County
Registered Office Street Address: 11960 HIGHWAY 18VERNON, AL 35592

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124529326 2018-02-22 2019-06-21 44946 HIGHWAY 17, P.O. BOX 649, VERNON, AL, 355923542, US 44946 HIGHWAY 17, VERNON, AL, 355925630, US

Contacts

Phone +1 205-557-1300
Fax 2055571301

Authorized person

Name DR. KEITH E MCCOY
Role OWNER
Phone 2055571300

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
MCCOY, CRYSTAL Agent 11960 HIGHWAY 18VERNON, AL 35592

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State