| Name: | N AL Family Medicine, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 24 Mar 2010 (15 years ago) |
| Entity Number: | 000-445-276 |
| Register Number: | 000445276 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | MADISON, AL |
| Registered Office Street Address: | 101 WESTOVER CIRCLE STE BMADISON, AL 35758 |
| Registered Office Street Address ZIP Code: | 35758 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902111560 | 2010-08-07 | 2010-08-07 | 101 WESTOVER CIR, STE B, MADISON, AL, 357584900, US | 101 WESTOVER CIR, STE B, MADISON, AL, 357584900, US | |||||||||||||||||||
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| Phone | +1 256-325-3800 |
| Fax | 2563253356 |
Authorized person
| Name | STEPHANIE MICHELLE BURRELL |
| Role | PHYSICIAN/MEMBER |
| Phone | 2563253800 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 27889 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BURRELL, STEPHANIE | Agent | 540 HUGHES RD STE 5MADISON, AL 35758 |
| Name | Role | Address |
|---|---|---|
| BURRELL, STEPHANIE | Member | 540 HUGHES RD STE 5MADISON, AL 35758 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
