| Name: | Smith Lake Urgent Care, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 29 Jun 2007 (17 years ago) |
| Date of dissolution: | 21 Jan 2016 |
| Entity Number: | 000-496-576 |
| Register Number: | 000496576 |
| County: | Walker |
| Place of Formation: | Walker County |
| Principal Address: | JASPER, AL |
| Registered Office Street Address: | 1280 SUMMIT DRJASPER, AL 35501 |
| Registered Office Street Address ZIP Code: | 35501 |
Activities
HEALTH CARE SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447499090 | 2009-02-05 | 2009-02-05 | 1280 SUMMITT, JASPER, AL, 355010102, US | 6610 CURRY HWY, JASPER, AL, 355035664, US | |||||||||||||||||||||||
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| Phone | +1 205-387-7555 |
| Fax | 2053849006 |
| Phone | +1 205-221-9737 |
| Fax | 2052219738 |
Authorized person
| Name | JAN WESTERMAN |
| Role | OWNER |
| Phone | 2052219737 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 13090 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| WESTERMAN, JAN H | Member |
| SMITH, JUDSON W | Member |
| HERRING, WOODROW III | Member |
| SMITH, MARK L | Member |
| KEATING, MARK S | Member |
| Name | Role |
|---|---|
| WESTERMAN, JAN H | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
