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Montgomery Obstetrical and Gynecological Associates, LLC

Details

Name: Montgomery Obstetrical and Gynecological Associates, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 20 Jul 2004 (20 years ago) (Companies founded in July 2004)
Date of dissolution: 28 Jun 2022
Entity Number: 000-453-361
Register Number: 000453361
ZIP code: 36116 (Companies in Montgomery, 36116)
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 2031 NORMANDIE DRMONTGOMERY, AL 36116

Activities MEDICINE PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174602080 2006-11-02 2020-08-22 2173 NORMANDIE DR, MONTGOMERY, AL, 361112728, US 2173 NORMANDIE DRIVE, MONTGOMERY, AL, 361112728, US

Contacts

Phone +1 334-284-2355
Fax 3342842141

Authorized person

Name BARBARA WARREN
Role OFFICE MANAGER
Phone 3342842355

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number 24720
State AL
Is Primary Yes
Taxonomy Code 174400000X - Specialist
License Number 17893
State AL
Is Primary No

Agent

Name Role Address
ZIMMERMAN, CHERYL A Agent 7306 BRISBANE PLMONTGOMERY, AL 36117

Member

Name Role Address
ZIMMERMAN, CHERYL A Member 7306 BRISBANE PLMONTGOMERY, AL 36117

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State