| Name: | Partners in Pediatrics, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 16 Aug 2006 (18 years ago) |
| Entity Number: | 000-482-964 |
| Register Number: | 000482964 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 2006 BERRYHILL RDMONTGOMERY, AL 36117 |
| Registered Office Street Address ZIP Code: | 36117 |
Activities
PRACTICE OF PEDIATRIC MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063679496 | 2008-05-22 | 2008-05-22 | 8160 SEATON PL, MONTGOMERY, AL, 361167204, US | 136 E MAIN ST, PRATTVILLE, AL, 360673114, US | |||||||||||||||||||
|
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| Phone | +1 334-272-1799 |
| Fax | 3342724876 |
Authorized person
| Name | DR. LAMENDA NOEL BLAKENEY |
| Role | MD/ACTING OFFICE MANAGER |
| Phone | 3342721799 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | 22059 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SNOWDEN, C F | Agent |
| Name | Role |
|---|---|
| WOOD, CATHERINE L | Member |
| BRANNON, SUSAN A | Member |
| OUTLAND, CHERYL A | Member |
| BLAKENEY, LAMENDA N | Member |
| DIEBEL, ELIZABETH W | Member |
| MUKKAMALA, RAMA | Member |
| MCNALLY, MELISSA S | Member |
| SPEIGHT, DANIELLE F | Member |
| Name | Role |
|---|---|
| MUKKAMALA, RAMA L. | Organizer |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2009-02-03 | Name Merged | No data | Wood, Brannon, Outland Pediatrics and Adolescent Medicine, LLC |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
