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Marshall Primary Care LLC

Details

Name: Marshall Primary Care LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 17 Nov 2020 (4 years ago) (Companies founded in November 2020)
Entity Number: 000-822-867
Register Number: 000822867
ZIP code: 35016 (Companies in Marshall, 35016)
County: Marshall
Place of Formation: Marshall County
Registered Office Street Address: 131 GOLFVIEW DRARAB, AL 35016
Registered Office Mailing Address: 306 LAUDERDALE RDARAB, AL 35016

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447854039 2020-11-24 2021-05-26 PO BOX 131, ARAB, AL, 350160131, US 131 GOLFVIEW DR NE, ARAB, AL, 350165473, US

Contacts

Phone +1 256-640-8416
Fax 2566408450

Authorized person

Name KESHIA WHISENANT
Role OFFICE MANAGER
Phone 2566408416

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
NESMITH, TRAY B Agent 83 LIONS DRIVEGUNTERSVILLE, AL 35976

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State