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Thomas Holt, MD LLC

Details

Name: Thomas Holt, MD LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 26 Mar 2020 (5 years ago)
Entity Number: 000-626-844
Register Number: 000626844
County: Montgomery
Place of Formation: Macon County
Registered Office Street Address: 8037 LAKERIDGE DRIVEMONTGOMERY, AL 36117
Registered Office Street Address ZIP Code: 36117

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194333088 2020-07-16 2020-07-16 8037 LAKERIDGE DR, MONTGOMERY, AL, 361175141, US 603 WRIGHT ST, TUSKEGEE, AL, 360831585, US

Contacts

Phone +1 334-430-9523
Phone +1 334-727-4960

Authorized person

Name DR. THOMAS HOLT
Role MD
Phone 3344309523

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
Is Primary Yes

Agent

Name Role Address
HOLT, THOMAS Agent 8037 LAKERIDGE DRIVEMONTGOMERY, AL 36117

Organizer

Name Role Address
HOLT, THOMAS Organizer 8037 LAKERIDGE DRIVEMONTGOMERY, AL 36117

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State