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HERITAGE PEDIATRICS, L.L.C.

Details

Name: HERITAGE PEDIATRICS, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 09 Sep 2019 (5 years ago) (Companies founded in September 2019)
Entity Number: 000-586-912
Register Number: 000586912
ZIP code: 35010 (Companies in Tallapoosa, 35010)
County: Tallapoosa
Place of Formation: Tallapoosa County
Registered Office Street Address: 3358 HIGHWAY 280 STE 108ALEXANDER CITY, AL 35010
Registered Office Mailing Address: PO BOX 2040ALEXANDER CITY, AL 35011

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982240941 2019-11-25 2019-11-25 PO BOX 2040, ALEXANDER CITY, AL, 350112040, US 3358 HIGHWAY 280, SUITE 108, ALEXANDER CITY, AL, 35010, US

Contacts

Phone +1 256-794-8007

Authorized person

Name CHANTE RUFFIN
Role PHYSICIAN OWNER
Phone 2567948007

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes

Agent

Name Role
RUFFIN, CHANTE M Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State