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Dothan Primary Care, LLC

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
YUNIS, NIDAL Agent 1891 HONEYSUCKLE ROAD STE 2DOTHAN, AL 36305

Organizer

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