| Name: | Internal Medicine Associates of Madison, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 15 Mar 2021 (4 years ago) (Companies founded in March 2021) |
| Entity Number: | 000-840-418 |
| Register Number: | 000840418 |
| ZIP code: | 35805 (Companies in Madison, 35805) |
| County: | Madison |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 2101 West Clinton Avenue, Suite 102Huntsville, AL 35805 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518611433 | 2022-02-09 | 2022-02-09 | 241 MILL WALK CT, MADISON, AL, 357581565, US | 1813 BELTLINE RD SW, DECATUR, AL, 356015506, US | |||||||||||||||||
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| Phone | +1 915-227-1977 |
| Phone | +1 256-353-3500 |
| Fax | 2563536878 |
Authorized person
| Name | RAPHAEL KOBINA QUANSAH |
| Role | DIRECTOR |
| Phone | 9152271977 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Pendergrass, J. Clark | Agent |
| Name | Role | Address |
|---|---|---|
| PENDERGRASS, J. CLARK | Organizer | 2101 WEST CLINTON AVENUE, SUITE 102HUNTSVILLE, AL 35805 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
