| Name: | New Leaf Medical Clinic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 22 Apr 2020 (5 years ago) (Companies founded in April 2020) |
| Entity Number: | 000-629-012 |
| Register Number: | 000629012 |
| ZIP code: | 35611 (Companies in Limestone, 35611) |
| County: | Limestone |
| Place of Formation: | Limestone County |
| Registered Office Street Address: | 10627 NEW CUT ROADATHENS, AL 35611 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841813631 | 2020-05-27 | 2020-05-27 | 710 W HOBBS ST, ATHENS, AL, 356111508, US | 710 W HOBBS ST, ATHENS, AL, 356111508, US | |||||||||||||
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| Phone | +1 256-497-6244 |
Authorized person
| Name | DR. MELISSA WARD |
| Role | OWNER |
| Phone | 2564976244 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WARD, MELISSA | Organizer | 10627 NEW CUT ROADATHENS, AL 35611 |
| Name | Role | Address |
|---|---|---|
| WARD, MELISSA | Agent | 10627 NEW CUT ROADATHENS, AL 35611 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
