| Name: | Dr. Pamela Tuck, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 30 Dec 2005 (19 years ago) (Companies founded in December 2005) |
| Entity Number: | 000-472-908 |
| Register Number: | 000472908 |
| ZIP code: | 36117 (Companies in Montgomery, 36117) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 300 TAYLOR ROAD STE 600MONTGOMERY, AL 36117 |
Activities
MEDICAL CARE SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558479162 | 2006-08-25 | 2007-12-11 | 300 TAYLOR RD, SUITE 600, MONTGOMERY, AL, 361173521, US | 300 TAYLOR RD, SUITE 600, MONTGOMERY, AL, 361173521, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 334-396-7865 |
| Fax | 3343967868 |
Authorized person
| Name | DR. PAMELA P TUCK |
| Role | OWNER |
| Phone | 3343967865 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | 00023723 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE |
| Number | K806 |
| State | AL |
| Name | Role |
|---|---|
| TUCK, PAMELA | Agent |
| Name | Role |
|---|---|
| TUCK, PAMELA | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
