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Crossroads Medical Group, LLC

Details

Name: Crossroads Medical Group, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 13 Jul 2010 (14 years ago)
Date of dissolution: 30 Dec 2014
Entity Number: 000-449-451
Register Number: 000449451
County: Cullman
Place of Formation: Winston County
Registered Office Street Address: 206 SAVANNAH CIRCLEHANCEVILLE, AL 35077
Registered Office Street Address ZIP Code: 35077

Activities PROFESSIONAL MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689981102 2010-09-03 2011-01-27 1635 HIGHWAY 31 NW, HARTSELLE, AL, 356404426, US 1635 HIGHWAY 31 NW, HARTSELLE, AL, 356404426, US

Contacts

Phone +1 256-747-6744

Authorized person

Name TERRY MATTHEW JAMES
Role OWNER/PHYSICIAN
Phone 2567476744

Taxonomy

Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
Is Primary Yes

Agent

Name Role
YEAGER, NEIL Agent

Member

Name Role Address
DODD, RICHARD PAYNE Member 101 1ST AVENUE NE SUITE 150CULLMAN, AL 35055
YEAGER, NEIL CAMERON Member 101 1ST AVENUE NE SUITE 150CULLMAN, AL 35055
HORNSBY, JEB S Member No data

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State