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LivingHealthyMD, PC

Details

Name: LivingHealthyMD, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 03 Nov 2020 (4 years ago) (Companies founded in November 2020)
Entity Number: 000-813-888
Register Number: 000813888
ZIP code: 35748 (Companies in Madison, 35748)
County: Madison
Place of Formation: Alabama
Principal Address: 824 CHERRY TREE ROADGURLEY, AL 35748
Authorized Capital: 1000@$1.00PV

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073181723 2021-06-17 2024-03-15 3626 MEMORIAL PKWY SW, HUNTSVILLE, AL, 358015320, US 3626 MEMORIAL PKWY SW, HUNTSVILLE, AL, 358015320, US

Contacts

Phone +1 256-715-7483
Fax 2567157414

Authorized person

Name DR. JOHN ROBERTS
Role M.D./OWNER
Phone 2567157483

Taxonomy

Taxonomy Code 208VP0014X - Interventional Pain Medicine Physician
Is Primary Yes

Agent

Name Role Address
ROBERTS, JOHN R Agent 11999 HWY 231-431 NMERIDIANVILLE, AL 35750

Incorporator

Name Role Address
ROBERTS, JOHN R Incorporator 11999 HWY 231-431 NMERIDIANVILLE, AL 35750

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State