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Nancy L. Zumstein, M.D., L.L.C.

Details

Name: Nancy L. Zumstein, M.D., L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 22 Aug 2003 (21 years ago) (Companies founded in August 2003)
Date of dissolution: 24 Feb 2011
Entity Number: 000-692-530
Register Number: 000692530
ZIP code: 36867 (Companies in Russell, 36867)
County: Russell
Place of Formation: Russell County
Registered Office Street Address: 1810 STADIUM DR STE 110PHENIX CITY, AL 36867

Activities PROVIDE MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104887652 2006-03-31 2020-08-22 PO BOX 849, SMITHS STATION, AL, 368770849, US 1810 STADIUM DR, SUITE 110, PHENIX CITY, AL, 368673100, US

Contacts

Phone +1 334-291-8170
Fax 3342918175

Authorized person

Name MICHAEL R BECKER
Role PRACTICE MANAGER
Phone 3342918170

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
License Number 18064
State AL
Is Primary Yes

Agent

Name Role
ZUMSTEIN, NANCY L Agent

Member

Name Role
ZUMSTEIN, NANCY L Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State