Name: | Dothan Primary Care, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Dissolved |
Date of registration: | 29 Oct 2020 (4 years ago) |
Date of dissolution: | 16 Feb 2023 |
Entity Number: | 000-807-599 |
Register Number: | 000807599 |
County: | Houston |
Place of Formation: | Houston County |
Registered Office Street Address: | 1891 HONEYSUCKLE ROAD STE 2DOTHAN, AL 36305 |
Registered Office Street Address ZIP Code: | 36305 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1003403569 | 2020-12-30 | 2021-01-11 | PO BOX 242848, MONTGOMERY, AL, 361242848, US | 1891 HONEYSUCKLE RD STE 2A, DOTHAN, AL, 363054291, US | |||||||||||||||||
|
Phone | +1 800-334-1757 |
Phone | +1 334-794-6504 |
Fax | 3347934452 |
Authorized person
Name | NIDAL YUNIS |
Role | OWNER |
Phone | 3346996396 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
YUNIS, NIDAL | Agent | 1891 HONEYSUCKLE ROAD STE 2DOTHAN, AL 36305 |
Name | Role | Address |
---|---|---|
YUNIS, NIDAL | Organizer | 1891 HONEYSUCKLE ROAD STE 2DOTHAN, AL 36305 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State