| Name: | East Broad Street Medical Clinic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 Jan 2006 (19 years ago) (Companies founded in January 2006) |
| Entity Number: | 000-473-302 |
| Register Number: | 000473302 |
| Place of Formation: | Barbour County |
| Principal Address: | EUFAULA, AL |
| Registered Office Street Address: | 525 E BROAD STEUFAULA, AL 36027-1736 |
Activities
PROVIDE MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548477912 | 2007-05-16 | 2020-08-22 | 525 E BROAD ST, EUFAULA, AL, 360271736, US | 525 E BROAD ST, EUFAULA, AL, 360271736, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 334-687-4827 |
| Fax | 3346874828 |
Authorized person
| Name | MOSES MARCUS JONES |
| Role | OWNER |
| Phone | 3346874827 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 9022 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| JONES, MOSES M | Agent |
| Name | Role |
|---|---|
| JONES, MOSES M | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
