| 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) |
| Entity Number: | 000-407-673 |
| Register Number: | 000407673 |
| County: | Marshall |
| Place of Formation: | Marshall County |
| Registered Office Street Address: | 431 NORTH CARLISLE STREETALABETVILLE, AL 35950 |
| Registered Office Street Address ZIP Code: | 35950 |
| 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 | |||||||||||||
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| 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 |
| Name | Role |
|---|---|
| STONE, LISA | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
