| Name: | T. Mark Ricketts, M.D., LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 06 Mar 2003 (22 years ago) |
| Entity Number: | 000-688-646 |
| Register Number: | 000688646 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | HOOVER, AL |
| Registered Office Street Address: | 2010 PATTEN CHAPEL RDHOOVER, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
Activities
MEDICINE PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366712564 | 2012-01-04 | 2012-01-04 | 2010 PATTON CHAPEL RD, SUITE 101, BIRMINGHAM, AL, 352165782, US | 2010 PATTON CHAPEL RD, SUITE 101, BIRMINGHAM, AL, 352165782, US | |||||||||||||||||||
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| Phone | +1 205-822-8233 |
| Fax | 2058220235 |
Authorized person
| Name | DR. TIMOTHY MARK RICKETTS |
| Role | OWNER |
| Phone | 2058228233 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 13998 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| RICKETTS, T MARK | Agent |
| Name | Role |
|---|---|
| RICKETTS, T MARK | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
