| Name: | Rocky Ridge Family Medicine, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 Dec 2003 (21 years ago) |
| Entity Number: | 000-695-557 |
| Register Number: | 000695557 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 2470 ROCKY RIDGE RDBIRMINGHAM, AL 35243 |
| Registered Office Street Address ZIP Code: | 35243 |
Activities
FAMILY MEDICINE PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245266378 | 2006-06-23 | 2020-08-22 | 2470 ROCKY RIDGE RD, STE 200, BIRMINGHAM, AL, 352432833, US | 2470 ROCKY RIDGE RD, STE 200, BIRMINGHAM, AL, 352432833, US | |||||||||||||||
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| Phone | +1 205-823-1899 |
| Fax | 2058239369 |
Authorized person
| Name | JUDY A CAMPODONICO |
| Role | DIRECTOR OF OPERATIONS |
| Phone | 2058798294 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CHANDLER, MICHAEL A | Agent |
| Name | Role |
|---|---|
| CHANDLER, MICHAEL A | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
