| Name: | Walker Wellness Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 15 Jan 2010 (15 years ago) (Companies founded in January 2010) |
| Date of dissolution: | 11 May 2012 |
| Entity Number: | 000-442-355 |
| Register Number: | 000442355 |
| ZIP code: | 35501 (Companies in Walker, 35501) |
| County: | Walker |
| Place of Formation: | Walker County |
| Principal Address: | JASPER, AL |
| Registered Office Street Address: | 306 OAKHILL RDJASPER, AL 35501 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982877536 | 2008-04-03 | 2008-05-05 | 306 OAKHILL RD, JASPER, AL, 355047465, US | 306 OAKHILL RD, JASPER, AL, 355047465, US | |||||||||||||||||||||||||||||||
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| Phone | +1 205-384-4348 |
| Fax | 2053844323 |
Authorized person
| Name | DR. BRIAN EARL CRESSMAN |
| Role | MD |
| Phone | 2053844348 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 19928 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009913343 |
| State | AL |
| Issuer | BCBS |
| Number | 51007115 |
| State | AL |
| Name | Role |
|---|---|
| CRESSMAN, BRIAN | Agent |
| Name | Role |
|---|---|
| CRESSMAN, BRIAN | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
