| Name: | Holtville Family Practice, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 22 Nov 2017 (7 years ago) (Companies founded in November 2017) |
| Entity Number: | 000-409-110 |
| Register Number: | 000409110 |
| ZIP code: | 36022 (Companies in Elmore, 36022) |
| County: | Elmore |
| Place of Formation: | Elmore County |
| Registered Office Street Address: | 8502 HOLTVILLE ROADDEATSVILLE, AL 36022 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497260889 | 2017-12-06 | 2022-09-19 | 8502 HOLTVILLE RD, WETUMPKA, AL, 360927664, US | 8502 HOLTVILLE RD, WETUMPKA, AL, 360927664, US | |||||||||||||
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| Phone | +1 334-399-9176 |
Authorized person
| Name | MRS. CAREY WILLIAMS |
| Role | OWNER/CRNP |
| Phone | 3343999176 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, CAREY | Agent | 8502 HOLTVILLE ROADDEATSVILLE, AL 36022 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, CAREY | Organizer | 8502 HOLTVILLE ROADDEATSVILLE, AL 36022 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
