| Name: | Morgan Family Practice, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 Jan 2003 (22 years ago) (Companies founded in January 2003) |
| Entity Number: | 000-687-074 |
| Register Number: | 000687074 |
| ZIP code: | 35016 (Companies in Marshall, 35016) |
| County: | Marshall |
| Place of Formation: | Marshall County |
| Principal Address: | ARAB, AL |
| Registered Office Street Address: | 141 GOLFVIEW DR NEARAB, AL 35016 |
Activities
OWN/MAINTAIN/CONDUCT/OPERATE A MEDICAL CLINIC
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659658615 | 2011-11-04 | 2011-11-04 | 141 GOLFVIEW DR NE, ARAB, AL, 350165473, US | 141 GOLFVIEW DR NE, ARAB, AL, 350165473, US | |||||||||||||||||||||||||
|
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| Phone | +1 256-586-1212 |
| Fax | 2569312270 |
Authorized person
| Name | KATHY W MORGAN |
| Role | PRACTICE MANAGER |
| Phone | 2565861212 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | MD18286 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | TAX ID |
| Number | 27-00338934 |
| State | AL |
| Name | Role |
|---|---|
| MORGAN, R KEITH | Agent |
| Name | Role |
|---|---|
| MORGAN, R KEITH | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
