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Traditional Family Medical Center LLC

Details

Name: Traditional Family Medical Center LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Dissolved
Date of registration: 06 Jan 2020 (5 years ago) (Companies founded in January 2020)
Date of dissolution: 24 Oct 2022
Entity Number: 000-597-824
Register Number: 000597824
ZIP code: 35801 (Companies in Madison, 35801)
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 2350 WHITESBURG DR SWHUNTSVILLE, AL 35801

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306464821 2020-07-10 2020-07-10 2350 WHITESBURG DR SW, HUNTSVILLE, AL, 358013818, US 2350 WHITESBURG DR SW, HUNTSVILLE, AL, 358013818, US

Contacts

Phone +1 256-210-3342

Authorized person

Name CRYSTAL BARBER
Role ADMINISTRATOR
Phone 7028869011

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role
KNOWLES, ANNA Agent

Organizer

Name Role Address
LORICK, DANIEL Organizer 2301 LARBROOK DR NEHUNTSVILLE, AL 35811

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State