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Primecare Occupational Medicine LLC

Details

Name: Primecare Occupational Medicine LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 16 Dec 2003 (21 years ago)
Date of dissolution: 08 Jul 2008
Entity Number: 000-695-674
Register Number: 000695674
County: Houston
Place of Formation: Houston County
Principal Address: DOTHAN, AL
Registered Office Street Address: 111 ADRIS PL STE 8DOTHAN, AL 36303
Registered Office Street Address ZIP Code: 36303

Activities MEDICINE PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578676102 2006-08-17 2020-08-22 301 WESTGATE PKWY, SUITE 2, DOTHAN, AL, 363032962, US 301 WESTGATE PKWY, SUITE 2, DOTHAN, AL, 363032962, US

Contacts

Phone +1 334-836-0004
Fax 3346710220

Authorized person

Name MRS. CHRISTIE M MCLEAN
Role OFFICE MANAGER
Phone 3348360004

Taxonomy

Taxonomy Code 261QX0100X - Occupational Medicine Clinic/Center
Is Primary Yes

Agent

Name Role Address
BAILEY, DAN Agent 250 BISHOP FARM WAY NWHUNTSVILLE, AL 35806

Member

Name Role
SHERRER, J STEVE Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State