| Name: | Physicians Care of Thomasville, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 06 Feb 2004 (21 years ago) (Companies founded in February 2004) |
| Entity Number: | 000-697-118 |
| Register Number: | 000697118 |
| ZIP code: | 36726 (Companies in Wilcox, 36726) |
| County: | Wilcox |
| Place of Formation: | Clarke County |
| Registered Office Street Address: | 24B CAMDEN BYPASSCAMDEN, AL 36726 |
Activities
MEDICAL & FAMILY PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598750762 | 2005-09-14 | 2022-07-21 | 33621 HIGHWAY 43, THOMASVILLE, AL, 367843347, US | 33621 HIGHWAY 43, THOMASVILLE, AL, 367843347, US | |||||||||||||||||||||
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| Phone | +1 334-636-5311 |
| Fax | 3346362280 |
Authorized person
| Name | HUEY RANDOLPH KIDD |
| Role | OWNER/MANAGER |
| Phone | 3346365311 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | No |
| Name | Role |
|---|---|
| PHYSICIANS CARE OF CLARKE | Agent |
| Name | Role | Address |
|---|---|---|
| KIDD, HUEY R | Member | 1145 TREVOR CIRCLETHOMASVILLE, AL 36784 |
| KIDD, CHARLES R | Member | 447 HIDEAWAY ROADCAMDEN, AL 36726 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
