| Name: | Michael J. Naughton, M.D. Ph.D., LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 17 Dec 2003 (21 years ago) (Companies founded in December 2003) |
| Entity Number: | 000-695-748 |
| Register Number: | 000695748 |
| ZIP code: | 35901 (Companies in Etowah, 35901) |
| County: | Etowah |
| Place of Formation: | Etowah County |
| Registered Office Street Address: | 501 S 3RD STGADSDEN, AL 35901 |
| Principal Address: | GADSDEN, AL |
Activities
MEDICAL/SURGICAL EVALUATION/TREATMENTS/GENERAL MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841479029 | 2007-10-24 | 2013-04-12 | 501 SOUTH 3RD STREET, GADSDEN, AL, 35901, US | 501 SOUTH 3RD STREET, GADSDEN, AL, 35901, US | |||||||||||||||||||||||||
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| Phone | +1 256-547-8680 |
| Fax | 2565478701 |
Authorized person
| Name | MICHAEL J NAUGHTON |
| Role | OWNER |
| Phone | 2565478680 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 12757 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 051519406 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| NAUGHTON, MICHAEL J | Agent | 501 THIRD STREET SOUTHNOT PROVIDED, NP |
| Name | Role | Address |
|---|---|---|
| NAUGHTON, MICHAEL J | Member | 501 THIRD STREET SOUTHNOT PROVIDED, NP |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
