| Name: | Clanton Internal Medicine, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 Mar 2000 (25 years ago) (Companies founded in March 2000) |
| Entity Number: | 000-668-811 |
| Register Number: | 000668811 |
| ZIP code: | 35045 (Companies in Chilton, 35045) |
| County: | Chilton |
| Place of Formation: | Chilton County |
| Principal Address: | CLANTON, AL |
| Registered Office Street Address: | 1008 LAY DAM ROADCLANTON, AL 35045 |
Activities
PROVIDE MEDICAL CARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821029240 | 2006-07-05 | 2020-08-22 | 1008 LAY DAM RD, CLANTON, AL, 350452306, US | 1008 LAY DAM RD, CLANTON, AL, 350452306, US | |||||||||||||||||||||||||||
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| Phone | +1 205-755-3500 |
| Fax | 2052803348 |
Authorized person
| Name | MRS. EVELYN COOK |
| Role | OFFICE MANAGER |
| Phone | 2057553500 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 16833 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 20673 |
| State | AL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PATEL, AJAY | Agent | 263 COUNTY ROAD 861CLANTON, AL 35046 |
| Name | Role | Address |
|---|---|---|
| PATEL, AJAY | Member | 263 COUNTY ROAD 861CLANTON, AL 35046 |
| HERRERA, CHERRIE | Member | 263 COUNTY ROAD 861CLANTON, AL 35045 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
