| Name: | Decatur Med-Surg Clinic, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 12 Dec 2000 (24 years ago) |
| Entity Number: | 000-673-083 |
| Register Number: | 000673083 |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Principal Address: | DECATUR, AL |
| Registered Office Street Address: | HWY 31 SOUTHDECATUR, AL 35603 |
| Registered Office Street Address ZIP Code: | 35603 |
Activities
PRACTICE OF MEDICINE/OWN/OPERATE A MEDICAL CLINIC
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770592206 | 2006-08-05 | 2020-08-22 | 2828 HIGHWAY 31 S, DECATUR, AL, 356031510, US | 2828 HIGHWAY 31 S, DECATUR, AL, 356031510, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 256-353-2000 |
| Fax | 2563553470 |
Authorized person
| Name | MR. ANDREW HETRICK |
| Role | AMINISTRATOR |
| Phone | 2563532000 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| License Number | 387443 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| REDDY, JAGAN | Agent |
| Name | Role |
|---|---|
| REDDY, JAGAN | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
