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First Choice Family Medicine, LLC

Details

Name: First Choice Family Medicine, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 31 Oct 2017 (7 years ago) (Companies founded in October 2017)
Entity Number: 000-407-673
Register Number: 000407673
ZIP code: 35950 (Companies in Marshall, 35950)
County: Marshall
Place of Formation: Marshall County
Registered Office Street Address: 431 NORTH CARLISLE STREETALABETVILLE, AL 35950

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073025581 2017-10-25 2017-10-25 431A N CARLISLE ST, ALBERTVILLE, AL, 359501733, US 431A N CARLISLE ST, ALBERTVILLE, AL, 359501733, US

Contacts

Phone +1 256-601-1654

Authorized person

Name ELIZABETH ANN CAUDLE
Role CREDENTIALING MANAGER
Phone 2562267573

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role
STONE, LISA Agent

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State