| Name: | Millport Family Practice Clinic, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 Mar 2004 (21 years ago) (Companies founded in March 2004) |
| Entity Number: | 000-698-196 |
| Register Number: | 000698196 |
| ZIP code: | 35576 (Companies in Lamar, 35576) |
| County: | Lamar |
| Place of Formation: | Lamar County |
| Registered Office Street Address: | 13530 HWY 96MILLPORT, AL 35576 |
Activities
PROVIDE COMPETENT/QUALITY MEDICAL/HEALTH CARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902984032 | 2006-11-02 | 2020-08-22 | 13530 HIGHWAY 96, MILLPORT, AL, 355762522, US | 13530 HIGHWAY 96, MILLPORT, AL, 355762522, US | |||||||||||||
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| Phone | +1 205-662-5784 |
Authorized person
| Name | MR. ROBERT ENOCH SWANSON |
| Role | MANAGING PARTNER |
| Phone | 2056625784 |
Taxonomy
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SWANSON, ROBERT E | Agent | 70 COUNTY ROAD 991CULLMAN, AL 35057 |
| Name | Role | Address |
|---|---|---|
| SWANSON, ROBERT E | Member | 70 COUNTY ROAD 991CULLMAN, AL 35057 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
