| Name: | The West Clinic, PLLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 11 Mar 1993 (32 years ago) (Companies founded in March 1993) |
| Entity Number: | 000-538-475 |
| Register Number: | 000538475 |
| Historical Names: |
The West Clinic, P.C.
|
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Tennessee |
| Principal Address: | 7945 WOLF RIVER BLVDGERMANTOWN, TN 38138 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154170884 | 2024-05-15 | 2024-05-15 | 7714 POPLAR AVE STE 200, GERMANTOWN, TN, 381383941, US | 1751 VETERANS DR STE 190A, FLORENCE, AL, 356304930, US | |||||||||||||||||||
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| Phone | +1 901-683-0055 |
| Fax | 9016852969 |
| Phone | +1 256-629-4801 |
| Fax | 2566294899 |
Authorized person
| Name | JOHN MITCHELL GRAVES |
| Role | CEO |
| Phone | 9016830055 |
Taxonomy
| Taxonomy Code | 2085R0001X - Radiation Oncology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2020-10-30 | Name Change | The West Clinic, P.C. | The West Clinic, PLLC |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
