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Auburn Pediatric and Adult Medicine, L.L.C.

Details

Name: Auburn Pediatric and Adult Medicine, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 09 Apr 2007 (18 years ago)
Entity Number: 000-492-922
Register Number: 000492922
County: Lee
Place of Formation: Lee County
Principal Address: AUBURN, AL
Registered Office Street Address: 861-A NORTH DEAN RDAUBURN, AL 36830
Registered Office Street Address ZIP Code: 36830

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013126937 2007-05-21 2024-08-15 2353 BENT CREEK RD STE 110, AUBURN, AL, 368306482, US 2353 BENT CREEK RD STE 110, AUBURN, AL, 368306482, US

Contacts

Phone +1 334-887-8707
Fax 3348878706

Authorized person

Name ANTHONY SCOTT GREER
Role OWNER
Phone 3348878707

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
License Number 00023858
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AUBURN PEDIATRIC AND ADULT MEDICINE, LLC 401(K) PLAN 2021 208870882 2022-09-07 AUBURN PEDIATRIC AND ADULT MEDICINE 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3348878707
Plan sponsor’s address 2353 BENT CREEK ROAD SUITE 110, AUBURN, AL, 36830

Signature of

Role Plan administrator
Date 2022-09-07
Name of individual signing SCOTT GREER
Role Employer/plan sponsor
Date 2022-09-07
Name of individual signing SCOTT GREER

Agent

Name Role
GREER, ANTHONY SCOTT Agent

Member

Name Role
GREER, ANTHONY SCOTT Member

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State