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Robert J. Bentley, L.L.C.

Details

Name: Robert J. Bentley, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 12 May 2006 (19 years ago)
Entity Number: 000-479-151
Register Number: 000479151
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Registered Office Street Address: 11 RIDGELANDTUSCALOOSA, AL 35406
Registered Office Street Address ZIP Code: 35406

Activities PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790338994 2019-07-17 2019-07-17 4960 RICE MINE RD NE STE 40, TUSCALOOSA, AL, 354062671, US 4960 RICE MINE RD NE STE 40, TUSCALOOSA, AL, 354062671, US

Contacts

Phone +1 205-759-1519
Fax 2057508612

Authorized person

Name REBEKAH MASON
Role ADMINISTRATOR
Phone 2057591519

Taxonomy

Taxonomy Code 207N00000X - Dermatology Physician
Is Primary Yes

Agent

Name Role
BENTLEY, ROBERT J Agent

Member

Name Role
BENTLEY, ROBERT J Member

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State