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B Vitality PLLC

Details

Name: B Vitality PLLC
Jurisdiction: Alabama
Legal type: Foreign Professional Limited Liability Company
Status: Exists
Date of registration: 19 Jan 2017 (8 years ago)
Entity Number: 000-537-852
Register Number: 000537852
County: Tuscaloosa
Place of Formation: Florida
Principal Address: 2728 6TH STREETTUSCALOOSA, AL 35401
Principal Address ZIP Code: 35401

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558898874 2017-05-17 2017-05-17 PO BOX 242848, MONTGOMERY, AL, 361242848, US 3425 COLONNADE PKWY STE C, BIRMINGHAM, AL, 352432356, US

Contacts

Phone +1 205-588-6700
Fax 2054494959

Authorized person

Name DR. ROSS BARNETT
Role M.D./OWNER
Phone 2055886700

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
License Number 17022747
State AL
Is Primary Yes

Agent

Name Role Address
RAMEY, BENTON B Agent 2728 6TH STREETTUSCALOOSA, AL 35401

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State