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Quad Cities Pediatrics, LLC

Details

Name: Quad Cities Pediatrics, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 17 Feb 2021 (4 years ago) (Companies founded in February 2021)
Entity Number: 000-835-786
Register Number: 000835786
ZIP code: 35674 (Companies in Colbert, 35674)
County: Colbert
Place of Formation: Alabama
Registered Office Street Address: 341 Rockwood DrTuscumbia, AL 35674

National Provider Identifier

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

Contacts

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

Agent

Name Role
Seal, Shawn N Seal Agent

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State