Name: | Sylacauga Internal Medicine L.L.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 02 Aug 2005 (19 years ago) (Companies founded in August 2005) |
Entity Number: | 000-467-256 |
Register Number: | 000467256 |
ZIP code: | 36117 (Companies in Montgomery, 36117) |
County: | Montgomery |
Place of Formation: | Montgomery County |
Principal Address: | MONTGOMERY, AL |
Registered Office Street Address: | 2201 VAUGHN LAKES BLVD 2503MONTGOMERY, AL 36117 |
Activities
MEDICAL SERVICES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1033388970 | 2008-02-25 | 2008-02-25 | PO BOX 2419, SYLACAUGA, AL, 351505419, US | 310 W FORT WILLIAMS ST, SYLACAUGA, AL, 351502434, US | |||||||||||||||||||
|
Phone | +1 256-249-0061 |
Fax | 2562492033 |
Authorized person
Name | DR. ABDALLA M ELKHIER |
Role | SOLE PROPRIETOR |
Phone | 2562490061 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | 00023122 |
State | AL |
Is Primary | Yes |
Name | Role |
---|---|
ELTOUM, MAHGOUB A | Agent |
Name | Role |
---|---|
ELKHIER, ABDALLA M | Member |
ELTOUM, MAHGOUB A | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State