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DTG II, PLLC

Details

Name: DTG II, PLLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 08 Apr 2021 (4 years ago) (Companies founded in April 2021)
Entity Number: 000-853-017
Register Number: 000853017
ZIP code: 36303 (Companies in Houston, 36303)
County: Houston
Place of Formation: Michigan
Principal Address: 811 E KENT RDGREENVILLE, MI 48838
Registered Office Street Address: 212 W. Troy St -Suite BDothan, AL 36303

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134900988 2023-10-09 2023-10-09 811 E KENT RD, GREENVILLE, MI, 488389791, US 1 PERIMETER PARK S STE 100N, BIRMINGHAM, AL, 352433248, US

Contacts

Phone +1 800-268-7713
Fax 4157043294

Authorized person

Name KANDY MORRIS
Role SVP OF MANAGED CARE
Phone 8777952361

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
Registered Agents Inc Agent 212 W. Troy St. STE BDothan, AL 36303

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State