| Name: | Sullivan Medical, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 25 Feb 2008 (17 years ago) |
| Entity Number: | 000-416-426 |
| Register Number: | 000416426 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
Activities
HEALTH CARE SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811145758 | 2008-09-04 | 2008-09-04 | PO BOX 1768, MADISON, AL, 357585409, US | 1874 SLAUGHTER RD STE P, MADISON, AL, 357585912, US | |||||||||||||||||||
|
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| Phone | +1 256-830-6667 |
| Fax | 2568305751 |
Authorized person
| Name | MARY P SULLIVAN |
| Role | PHYSICIAN |
| Phone | 2568306667 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | DO832 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NATIONAL REGISTERED AGENTS INC | Agent |
| Name | Role |
|---|---|
| SULLIVAN, MARY P | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
