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
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 | |||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
BAILEY, DAN | Agent | 250 BISHOP FARM WAY NWHUNTSVILLE, AL 35806 |
Name | Role |
---|---|
SHERRER, J STEVE | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State