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Physicians Care of Camden LLC

Details

Name: Physicians Care of Camden LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 07 Nov 2018 (6 years ago) (Companies founded in November 2018)
Entity Number: 000-534-465
Register Number: 000534465
ZIP code: 36726 (Companies in Wilcox, 36726)
County: Wilcox
Place of Formation: Clarke County
Registered Office Street Address: 24B CAMDEN BYPASSCAMDEN, AL 36726

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487123915 2018-11-14 2020-09-01 1145 TREVOR CIR, THOMASVILLE, AL, 367843546, US 24B CAMDEN BYP, CAMDEN, AL, 367261770, US

Contacts

Phone +1 334-534-3826
Phone +1 334-882-1919
Fax 3346361989

Authorized person

Name HUEY RANDOLPH KIDD
Role D.O.
Phone 3348821919

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes
Taxonomy Code 261QR1300X - Rural Health Clinic/Center
Is Primary No

Agent

Name Role
PHYSICIANS CARE OF CLARKE Agent

Organizer

Name Role Address
KIDD, HUEY R Organizer 1145 TREVOR CIRCLETHOMASVILLE, AL 36784

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State