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The Geraldine Clinic, LLC

Details

Name: The Geraldine Clinic, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 29 Aug 2019 (5 years ago) (Companies founded in August 2019)
Entity Number: 000-586-121
Register Number: 000586121
ZIP code: 35957 (Companies in Marshall, 35957)
County: Marshall
Place of Formation: DeKalb County
Registered Office Mailing Address: PO BOX 84GERALDINE, AL 35957
Registered Office Street Address: 41263 AL HWY 75 STE DGERALDINE, AL 35957

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588207476 2019-10-23 2019-12-06 41263 AL HIGHWAY 75 STE D, GERALDINE, AL, 359743724, US 41263 AL HIGHWAY 75 STE D, GERALDINE, AL, 359743724, US

Contacts

Phone +1 256-659-2000
Fax 2566592002

Authorized person

Name MICHELLE A STUART
Role FOUNDER/OWNER
Phone 2566592000

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role
STUART, MICHELLE Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State