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Sylacauga Internal Medicine L.L.C.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
ELTOUM, MAHGOUB A Agent

Member

Name Role
ELKHIER, ABDALLA M Member
ELTOUM, MAHGOUB A Member

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State