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Gulf Coast Mens Clinic LLC

Details

Name: Gulf Coast Mens Clinic LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 10 Feb 2020 (5 years ago)
Entity Number: 000-622-264
Register Number: 000622264
County: Mobile
Place of Formation: Mobile County
Registered Office Street Address: 121 NORTH LAFAYETTE STREETMOBILE, AL 36604
Registered Office Street Address ZIP Code: 36604
Registered Office Mailing Address: 5920 GRELOT ROAD STE E3MOBILE, AL 36609
Registered Office Mailing Address ZIP Code: 36609

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922731058 2022-07-06 2022-07-06 5920 GRELOT RD STE E3, MOBILE, AL, 366093606, US 5920 GRELOT RD STE E3, MOBILE, AL, 366093606, US

Contacts

Phone +1 251-459-9133

Authorized person

Name CHRISTOPHER M MCMEANS
Role CEO
Phone 1251459913

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role
HUNTE, EYSTON Agent

Organizer

Name Role Address
THORNTON, BRAD Organizer 15810 HIGHWAY 59FOLEY, AL 36535

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State