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 |
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 | |||||||||||||||||||||
|
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 |
Name | Role |
---|---|
Clapp, Mary Margaret | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State