| Name: | St Clair Clinic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 09 Feb 2009 (16 years ago) |
| Date of dissolution: | 09 Nov 2016 |
| Entity Number: | 000-430-102 |
| Register Number: | 000430102 |
| Place of Formation: | Shelby County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 5219 VALLEYBROOK CIRCLEBIRMINGHAM, AL 35244-1977 |
Activities
OPERATE/MANAGE AMBULATORY CARE/OCCUPATIONAL MEDICINE CLINIC
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760712061 | 2010-01-08 | 2010-01-08 | 151 NARROWS PKWY, BIRMINGHAM, AL, 352428637, US | 12 CROPWELL DR, PELL CITY, AL, 351287552, US | |||||||||||||||||||
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| Phone | +1 205-444-9550 |
| Phone | +1 205-814-0404 |
Authorized person
| Name | PAYSON DAUGHERTY |
| Role | OWNER |
| Phone | 2054449550 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | 13722 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAUGHERTY, E PAYSON | Agent | 151 NARROWS PARKWAY SUITE 110BIRMINGHAM, AL 35242 |
| Name | Role |
|---|---|
| FREEDOM BILLING INC | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
