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Montgomery Women's Primary Care Center, LLC

Details

Name: Montgomery Women's Primary Care Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 21 Oct 2009 (15 years ago) (Companies founded in October 2009)
Entity Number: 000-439-310
Register Number: 000439310
Historical Names: Montgomery Primary Women's Care Center, LLC
ZIP code: 36108 (Companies in Montgomery, 36108)
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 3088 ROSA L PARKS AVEMONTGOMERY, AL 36108

Activities MEDICAL CARE/OBSTETRICS & GYNECOLOGY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295061059 2009-10-28 2010-01-07 8134 SEATON PL, MONTGOMERY, AL, 361167204, US 8134 SEATON PL, MONTGOMERY, AL, 361167204, US

Contacts

Phone +1 334-356-4873

Authorized person

Name DR. ROOSEVELT MCCORVEY
Role PHYSICIAN OWNER
Phone 3343564873

Taxonomy

Taxonomy Code 207V00000X - Obstetrics & Gynecology Physician
License Number 7451
State AL
Is Primary Yes

Member

Name Role
MCCORVEY, ROOSEVELT Member

Agent

Name Role
MCCORVEY, ROOSEVELT Agent

Events

Event Date Event Type Old Value New Value
2009-10-27 Name Change Montgomery Primary Women's Care Center, LLC Montgomery Women's Primary Care Center, LLC

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State