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William Alexander Nixon, L.L.C.

Details

Name: William Alexander Nixon, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 08 Aug 2005 (19 years ago) (Companies founded in August 2005)
Entity Number: 000-467-494
Register Number: 000467494
ZIP code: 35976 (Companies in Marshall, 35976)
County: Marshall
Place of Formation: Marshall County
Principal Address: GUNTERSVILLE, AL
Registered Office Street Address: 1600 LUSK STGUNTERSVILLE, AL 35976

Activities MAINTAIN CONTROL OF COMPANY PROPERTY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154513109 2007-08-14 2013-10-30 PO BOX 207, GUNTERSVILLE, AL, 359760207, US 11491 US HIGHWAY 431, ALBERTVILLE, AL, 359500136, US

Contacts

Phone +1 256-505-6826
Fax 2565821100

Authorized person

Name DR. WILLIAM A NIXON
Role MD/OWNER
Phone 2565056826

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number 22839
State AL
Is Primary Yes

Other Provider Identifiers

Issuer NPI
Number 1154513109
State AL
Issuer MEDICARE LEGACY
Number K644
State AL

Member

Name Role Address
NIXON, WILLIAM ALEXANDER Member 115 WALL STREETALBERTVILLE, AL 35951

Agent

Name Role Address
NIXON, WILLIAM ALEXANDER Agent 115 WALL STREETALBERTVILLE, AL 35951

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State