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Diabetic and Wound Care Management Services, LLC

Details

Name: Diabetic and Wound Care Management Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 28 Apr 2010 (15 years ago) (Companies founded in April 2010)
Date of dissolution: 20 Jan 2017
Entity Number: 000-446-410
Register Number: 000446410
ZIP code: 35044 (Companies in Talladega, 35044)
County: Talladega
Place of Formation: Talladega County
Principal Address: CHILDERSBURG, AL
Registered Office Street Address: 34011 HWY 280 EASTCHILDRESBURG, AL 35044

Activities MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669785010 2010-07-14 2011-03-15 PO BOX 349, CHILDERSBURG, AL, 350440349, US 34011 US HIGHWAY 280, CHILDERSBURG, AL, 350442128, US

Contacts

Phone +1 256-378-3313
Fax 2563783315

Authorized person

Name MICHAEL T BICE
Role PRESIDENT
Phone 2563783313

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes

Agent

Name Role
BICE, MICHAEL T Agent

Member

Name Role
BICE, MICHAEL T Member
SPEER, JAROD E Member

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State