| Name: | Caring Surgery, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 22 Apr 2008 (17 years ago) |
| Date of dissolution: | 27 Feb 2012 |
| Entity Number: | 000-419-151 |
| Register Number: | 000419151 |
| County: | Jackson |
| Place of Formation: | Jackson County |
| Principal Address: | SCOTTSBORO, AL |
| Registered Office Street Address: | 317 PARKS AVESCOTTSBORO, AL 35768 |
| Registered Office Street Address ZIP Code: | 35768 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275796344 | 2008-07-08 | 2008-07-08 | 319 PARKS AVE, SCOTTSBORO, AL, 357682411, US | 319 PARKS AVE, SCOTTSBORO, AL, 357682411, US | |||||||||||||||||||||||||
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| Phone | +1 256-259-1302 |
| Fax | 2562591335 |
Authorized person
| Name | DR. CRYSTAL ULANI TWYNHAM |
| Role | GENERAL SURGEON |
| Phone | 25625291302 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | 208600000X |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 102539 |
| State | AL |
| Name | Role |
|---|---|
| TWYNHAM, CRYSTAL U | Agent |
| Name | Role |
|---|---|
| TWYNHAM, CRYSTAL U | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
