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Prattville Heart Center, LLC

Details

Name: Prattville Heart Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 21 Aug 2018 (6 years ago) (Companies founded in August 2018)
Entity Number: 000-527-345
Register Number: 000527345
ZIP code: 36066 (Companies in Autauga, 36066)
County: Autauga
Place of Formation: Autauga County
Registered Office Street Address: 102 MEDICAL CENTER DRIVE SUITE DPRATTVILLE, AL 36066
Registered Office Mailing Address: 6631 HALCYON PARK DRIVEMONTGOMERY, AL 36117

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558841379 2018-08-21 2018-08-21 7956 VAUGHN RD # 165, MONTGOMERY, AL, 361166625, US 102 MEDICAL CENTER DR STE D, PRATTVILLE, AL, 360667286, US

Contacts

Phone +1 334-310-1733
Fax 3343101733

Authorized person

Name JOHN A WILLIAMS
Role PRESIDENT
Phone 3343980710

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number MD.9622
State AL
Is Primary Yes

Agent

Name Role Address
WILLIAMS, JOHN A Agent 102 MEDICAL CENTER DRIVE SUITE DPRATTVILLE, AL 36066

Organizer

Name Role Address
WILLIAMS, JOHN A Organizer 102 MEDICAL CENTER DRIVE SUITE DPRATTVILLE, AL 36066

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State