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MMC, M.D., LLC

Details

Name: MMC, M.D., LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 06 Aug 2020 (4 years ago)
Entity Number: 000-641-959
Register Number: 000641959
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Registered Office Street Address: 3509 Watermelon RoadNorthport, AL 35473
Registered Office Street Address ZIP Code: 35473

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316559917 2020-08-17 2020-12-17 1110 DR EDWARD HILLARD DR STE A, TUSCALOOSA, AL, 354017446, US 3509 WATERMELON RD, NORTHPORT, AL, 354735174, US

Contacts

Phone +1 205-333-4655
Fax 2053334660
Phone +1 205-366-0221

Authorized person

Name DR. MARY M CLAPP
Role OWNER
Phone 2053660221

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary No

Agent

Name Role
Clapp, Mary Margaret Agent

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State