| Name: | MELISSA DeBERRY, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 13 Oct 2017 (7 years ago) |
| Entity Number: | 000-405-841 |
| Register Number: | 000405841 |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 5004 WILLOW CREEK DRIVE SEOWENS CROSS ROADS, AL 35763 |
| Registered Office Street Address ZIP Code: | 35763 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649782913 | 2017-10-26 | 2017-10-26 | 5004 WILLOW CREEK DR SE, OWENS CROSS ROADS, AL, 357639157, US | 180 OLD HIGHWAY 431 STE C, OWENS CROSS ROADS, AL, 357639274, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 256-585-3961 |
| Fax | 2565853971 |
Authorized person
| Name | MELISSA DEBERRY |
| Role | OWNER/MD |
| Phone | 2565853961 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DEBERRY, MELISSA S | Agent | 5004 WILLOW CREEK DRIVE SEOWENS CROSS ROADS, AL 35763 |
| Name | Role | Address |
|---|---|---|
| DEBERRY, MELISSA S | Organizer | 5004 WILLOW CREEK DRIVE SEOWENS CROSS ROADS, AL 35763 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
