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Melanie L. Petro, MD, LLC

Details

Name: Melanie L. Petro, MD, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 29 Sep 2008 (16 years ago) (Companies founded in September 2008)
Entity Number: 000-425-813
Register Number: 000425813
ZIP code: 36542 (Companies in Baldwin, 36542)
County: Baldwin
Place of Formation: Baldwin County
Registered Office Street Address: 350 CYPRESS BEND DRGULF SHORES, AL 36542
Principal Address: GULF SHORES, AL

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689082273 2014-07-27 2014-07-27 1995 VES TRACE CIR, VESTAVIA, AL, 352161372, US 1995 VES TRACE CIR, VESTAVIA, AL, 352161372, US

Contacts

Phone +1 205-568-8012

Authorized person

Name MELANIE L PETRO
Role OWNER
Phone 2055688012

Taxonomy

Taxonomy Code 207YS0123X - Facial Plastic Surgery Physician
License Number 27512
State AL
Is Primary Yes

Agent

Name Role
PETRO, MELANIE L Agent

Member

Name Role
PETRO, MELANIE L Member

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State