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SEC Lung, LLC

Details

Name: SEC Lung, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 28 May 2009 (15 years ago)
Entity Number: 000-434-209
Register Number: 000434209
County: Houston
Place of Formation: Covington County
Principal Address: ---ANDALUSIA, AL
Registered Office Street Address: 217 GRACELAND DR, STE 3DOTHAN, AL 36305
Registered Office Street Address ZIP Code: 36305

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1659501906 2009-07-21 2013-06-05 822 S THREE NOTCH ST, STE B, ANDALUSIA, AL, 364205310, US 822 S THREE NOTCH ST, STE B, ANDALUSIA, AL, 364205310, US

Contacts

Phone +1 888-681-5864
Fax 3342226633

Authorized person

Name DR. ROBERT I GARVER JR.
Role OWNER
Phone 8886815864

Taxonomy

Taxonomy Code 207RC0200X - Critical Care Medicine (Internal Medicine) Physician
Is Primary No
Taxonomy Code 207RP1001X - Pulmonary Disease Physician
Is Primary Yes

Member

Name Role
GARVER, ROBERT I JR Member
GARVER, MICHELLE H Member

Agent

Name Role
GARVER, ROBERT I JR Agent

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State