| Name: | Troy Ear, Nose & Throat, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 07 Oct 2009 (15 years ago) |
| Date of dissolution: | 21 Dec 2012 |
| Entity Number: | 000-438-981 |
| Register Number: | 000438981 |
| County: | Pike |
| Place of Formation: | Pike County |
| Principal Address: | TROY, AL |
| Registered Office Street Address: | 1320 HWY 231 SOUTH #3TROY, AL 36081 |
| Registered Office Street Address ZIP Code: | 36081 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982939120 | 2009-10-06 | 2009-10-06 | 1320 HIGHWAY 231 S, SUITE 3, TROY, AL, 360813000, US | 1320 HIGHWAY 231 S, SUITE 3, TROY, AL, 360813000, US | |||||||||||||||||||||||||
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| Phone | +1 334-807-8448 |
| Fax | 3348076099 |
Authorized person
| Name | DR. WILTON DAVID MCRAE |
| Role | OWNER |
| Phone | 3348078448 |
Taxonomy
| Taxonomy Code | 207Y00000X - Otolaryngology Physician |
| License Number | 6245 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1093706905 |
| State | AL |
| Name | Role |
|---|---|
| MCRAE, WILTON D | Agent |
| Name | Role |
|---|---|
| MCRAE, WILTON D | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
