| Name: | Tuscaloosa Primary Care, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 22 May 2018 (7 years ago) (Companies founded in May 2018) |
| Entity Number: | 000-519-342 |
| Register Number: | 000519342 |
| ZIP code: | 35401 (Companies in Tuscaloosa, 35401) |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Registered Office Street Address: | 701 22ND AVENUE SUITE 1TUSCALOOSA, AL 35401 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528544475 | 2018-07-13 | 2018-07-13 | 100 TOWNCENTER BLVD STE 300, TUSCALOOSA, AL, 354061835, US | 100 TOWNCENTER BLVD STE 300, TUSCALOOSA, AL, 354061835, US | |||||||||||||||
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| Phone | +1 205-710-3838 |
| Fax | 2057103839 |
Authorized person
| Name | JOHN DUSTIN SHEPPARD |
| Role | OWNER/PHYSICIAN |
| Phone | 2057103383 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STAGGS, CLAY | Agent | 701 22ND AVENUE, SUITE 1TUSCALOOSA, AL 35401 |
| Name | Role | Address |
|---|---|---|
| LEE, DANA | Organizer | 701 22ND AVE STE 1TUSCALOOSA, AL 35401 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
