| Name: | Child Life Pediatrics, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 01 Jul 2004 (20 years ago) (Companies founded in July 2004) |
| Entity Number: | 000-452-977 |
| Register Number: | 000452977 |
| Historical Names: |
Dooley House Pediatrics, L.L.C.
|
| ZIP code: | 35957 (Companies in Marshall, 35957) |
| County: | Marshall |
| Place of Formation: | Marshall County |
| Principal Address: | BOAZ, AL |
| Registered Office Street Address: | 316 N MAIN STBOAZ, AL 35957 |
Activities
PEDIATRICS MEDICINE PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033227285 | 2006-08-28 | 2008-04-14 | PO BOX 1398, ALBERTVILLE, AL, 359500023, US | 201 W MAIN ST, ALBERTVILLE, AL, 359501627, US | |||||||||||||||||||
|
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| Phone | +1 256-878-7931 |
| Fax | 2568787932 |
Authorized person
| Name | DR. MICHAEL ROY SHARPE |
| Role | PHYSICIAN/OWNER |
| Phone | 2568787931 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 6499 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SHARPE, MICHAEL | Agent |
| Name | Role |
|---|---|
| SHARPE, MICHAEL | Member |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2006-01-27 | Name Change | Dooley House Pediatrics, L.L.C. | Child Life Pediatrics, L.L.C. |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
