| Name: | Pediatric Clinic, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 02 Mar 1998 (27 years ago) (Companies founded in March 1998) |
| Entity Number: | 000-659-043 |
| Register Number: | 000659043 |
| ZIP code: | 36801 (Companies in Lee, 36801) |
| County: | Lee |
| Place of Formation: | Lee County |
| Registered Office Street Address: | 121 N 20TH STREET BLD 23OPELIKA, AL 36801 |
Activities
PRACTICE OF MEDICINE
SPECIALIZING IN PEDIATRICS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588425953 | 2024-01-22 | 2024-01-22 | 2401 VILLAGE PROFESSIONAL DR S, OPELIKA, AL, 368014702, US | 2375 CHAMPIONS BLVD STE 3, AUBURN, AL, 368306471, US | |||||||||||||||
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| Phone | +1 334-749-8121 |
| Fax | 3347496166 |
Authorized person
| Name | JERRY PASCHAL HAYNES |
| Role | ADMINISTRATOR |
| Phone | 3347498121 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| JONES, G RANDALL | Member |
| CURRY, B D | Member |
| DRUHAN, F D | Member |
| INGLE, ERON B JR | Member |
| SMALLEY, DAVID B | Member |
| ANZ, LINDA H | Member |
| Name | Role |
|---|---|
| JONES, G RANDALL MD | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
