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 |
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 | |||||||||||||||||||||
|
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 |
Name | Role |
---|---|
PHYSICIANS CARE OF CLARKE | Agent |
Name | Role | Address |
---|---|---|
KIDD, HUEY R | Organizer | 1145 TREVOR CIRCLETHOMASVILLE, AL 36784 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State