| Name: | Fennell Medical Services LLc |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 05 Oct 2004 (20 years ago) (Companies founded in October 2004) |
| Entity Number: | 000-456-065 |
| Register Number: | 000456065 |
| ZIP code: | 35064 (Companies in Jefferson, 35064) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | FAIRFIELD, AL |
| Registered Office Street Address: | 1531 CAMBRIDGE BLVDFAIRFIELD, AL 35064 |
Activities
MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083730519 | 2007-03-22 | 2020-08-22 | PO BOX 70, FAIRFIELD, AL, 350640070, US | 701 PRINCETON AVE SW, BIRMINGHAM, AL, 352111303, US | |||||||||||||||||||
|
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| Phone | +1 205-785-4811 |
| Fax | 2057854810 |
Authorized person
| Name | DR. RICKY FENNELL |
| Role | PRESIDENT |
| Phone | 2057854811 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 21526 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| FENNELL, RICK | Member |
| Name | Role |
|---|---|
| FENNELL, RICK | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
