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Keith A. Williamson, MD, LLC

Details

Name: Keith A. Williamson, MD, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 29 Jun 2005 (19 years ago)
Date of dissolution: 10 May 2012
Entity Number: 000-465-957
Register Number: 000465957
County: Talladega
Place of Formation: Talladega County
Principal Address: TALLADEGA, AL
Registered Office Street Address: 1202 ASHLAND HWYTALLADEGA, AL 35160
Registered Office Street Address ZIP Code: 35160

Activities MEDICAL & SURGICAL EYE CARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740247261 2006-04-27 2020-08-22 PO BOX 661495, BIRMINGHAM, AL, 352661495, US 1202 ASHLAND HIGHWAY, TALLADEGA, AL, 35160, US

Contacts

Phone +1 205-979-5882
Fax 2059791248
Phone +1 256-761-2447
Fax 2563624942

Authorized person

Name KEITH A. WILLIAMSON
Role OWNER
Phone 2567612447

Taxonomy

Taxonomy Code 207W00000X - Ophthalmology Physician
Is Primary Yes

Member

Name Role
WILLIAMSON, KEITH A Member

Agent

Name Role
WILLIAMSON, KEITH A Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State