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Sylacauga Obstetrics & Primary Care, LLC

Details

Name: Sylacauga Obstetrics & Primary Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 06 Dec 1999 (25 years ago) (Companies founded in December 1999)
Date of dissolution: 20 Dec 2012
Entity Number: 000-667-550
Register Number: 000667550
ZIP code: 35150 (Companies in Talladega, 35150)
County: Talladega
Place of Formation: Talladega County
Principal Address: SYLACAUGA, AL
Registered Office Street Address: 110 SOUTH ANNISTON AVESYLACAUGA, AL 35150

Activities PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104907781 2006-10-18 2022-07-21 209 W SPRING ST, SUITE 100, SYLACAUGA, AL, 351502973, US 209 W SPRING ST, SUITE 100, SYLACAUGA, AL, 351502973, US

Contacts

Phone +1 256-249-5888
Fax 2562495040

Authorized person

Name DR. WILLIAM PHILLIP SMITH
Role OWNER
Phone 2562495888

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
State AL
Is Primary Yes

Agent

Name Role
SMITH, W PHILLIP Agent

Member

Name Role
SMITH, W PHILLIP Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State