| Name: | DeKalb Urgent Care & Wellness Clinic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 24 Oct 2017 (7 years ago) |
| Entity Number: | 000-406-619 |
| Register Number: | 000406619 |
| County: | De Kalb |
| Place of Formation: | DeKalb County |
| Registered Office Street Address: | 190 CREEK DRRAINSVILLE, AL 35986 |
| Registered Office Street Address ZIP Code: | 35986 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073150306 | 2019-12-05 | 2019-12-05 | 190 CREEK DR, RAINSVILLE, AL, 359864773, US | 157 MARSHALL ROAD, RAINSVILLE, AL, 35986, US | |||||||||||||
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| Phone | +1 256-638-9355 |
Authorized person
| Name | ASHLEY THOMAS |
| Role | OWNER/NP |
| Phone | 2566389355 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THOMAS, ASHLEY | Agent | 358 S LAWRENCE STMOBILE, AL 36603 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
