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Aderholt Medical LLC

Details

Name: Aderholt Medical LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 16 Sep 2020 (4 years ago)
Entity Number: 000-649-109
Register Number: 000649109
County: Limestone
Place of Formation: Limestone County
Registered Office Street Address: 108 SHADY LANEATHENS, AL 35613
Registered Office Street Address ZIP Code: 35613

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164023529 2020-11-03 2020-11-03 108 SHADY LN, ATHENS, AL, 356132014, US 320 OLD US-31 N, ATHENS, AL, 35611, US

Contacts

Phone +1 256-777-1278

Authorized person

Name BRADY ERIC ADERHOLT
Role OWNER
Phone 2567771278

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
ADERHOLT, BRADY Agent 108 SHADY LANEATHENS, AL 35613

Organizer

Name Role Address
ADERHOLT, BRADY Organizer 108 SHADY LANEATHENS, AL 35613

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State