| 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) |
| Entity Number: | 000-527-345 |
| Register Number: | 000527345 |
| County: | Autauga |
| Place of Formation: | Autauga County |
| Registered Office Street Address: | 102 MEDICAL CENTER DRIVE SUITE DPRATTVILLE, AL 36066 |
| Registered Office Street Address ZIP Code: | 36066 |
| Registered Office Mailing Address: | 6631 HALCYON PARK DRIVEMONTGOMERY, AL 36117 |
| Registered Office Mailing Address ZIP Code: | 36117 |
| 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 | |||||||||||||||||||
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| 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 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, JOHN A | Agent | 102 MEDICAL CENTER DRIVE SUITE DPRATTVILLE, AL 36066 |
| 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
