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Dewey H Jones, IV, M.D., LLC

Details

Name: Dewey H Jones, IV, M.D., LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 11 Dec 2002 (22 years ago) (Companies founded in December 2002)
Entity Number: 000-686-533
Register Number: 000686533
ZIP code: 35216 (Companies in Jefferson, 35216)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 1581 WOODRIDGE PLACEBIRMINGHAM, AL 35216

Activities ORTHOPEDIC MEDICINE PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508966599 2006-09-22 2024-07-10 3686 GRANDVIEW PKWY STE 430, BIRMINGHAM, AL, 352433404, US 3686 GRANDVIEW PKWY STE 430, BIRMINGHAM, AL, 352433404, US

Contacts

Phone +1 205-870-1498
Fax 2058712851

Authorized person

Name KRISTIN MCCARRON
Role MGT COMPANY-DOCRX
Phone 2514598545

Taxonomy

Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
License Number 21829
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 0009933375
State AL

Agent

Name Role
JONES, DEWEY H IV Agent

Member

Name Role
JONES, DEWEY H IV Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State