| Name: | Quad Cities Pediatrics, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 17 Feb 2021 (4 years ago) |
| Entity Number: | 000-835-786 |
| Register Number: | 000835786 |
| County: | Colbert |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 341 Rockwood DrTuscumbia, AL 35674 |
| Registered Office Street Address ZIP Code: | 35674 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982289021 | 2021-03-10 | 2022-07-12 | 716 STATE ST, MUSCLE SHOALS, AL, 356612940, US | 716 STATE ST, MUSCLE SHOALS, AL, 356612940, US | |||||||||||||||
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| Phone | +1 256-826-1800 |
| Fax | 2568260303 |
Authorized person
| Name | REGINA RIKARD |
| Role | OFFICE MANAGER |
| Phone | 2568261800 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Seal, Shawn N Seal | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
