| Name: | ICP Alabama, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 23 May 2018 (7 years ago) (Companies founded in May 2018) |
| Date of dissolution: | 27 Dec 2022 |
| Entity Number: | 000-519-790 |
| Register Number: | 000519790 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801380001 | 2018-06-20 | 2020-12-18 | PO BOX 9178, RUSSELLVILLE, AR, 728119178, US | 2700 CORPORATE DR STE 200, BIRMINGHAM, AL, 352422733, US | |||||||||||||||
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| Phone | +1 855-498-6767 |
| Fax | 4799681673 |
Authorized person
| Name | RODNEY THOMASON |
| Role | AUTHORIZED OFFICIAL |
| Phone | 4794986747 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339 |
| Name | Role |
|---|---|
| BONNER, G ELWOOD | Organizer |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
