Name: | SRD Russellville, PLLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Limited Liability Company |
Status: | Exists |
Date of registration: | 13 May 2022 (3 years ago) (Companies founded in May 2022) |
Entity Number: | 001-019-832 |
Register Number: | 001019832 |
ZIP code: | 35674 (Companies in Colbert, 35674) |
County: | Colbert |
Place of Formation: | Alabama |
Registered Office Street Address: | 110 East 5th StreetTuscumbia, AL 35674 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1730810920 | 2022-06-20 | 2022-07-06 | PO BOX 740979, TUSCUMBIA, AL, 356747423, US | 531 SAINT CLAIR ST SE, RUSSELLVILLE, AL, 356532719, US | |||||||||||||
|
Phone | +1 256-332-6888 |
Authorized person
Name | CHRISTYN SHIELDS |
Role | CONTROLLER |
Phone | 2563205903 |
Taxonomy
Taxonomy Code | 1223G0001X - General Practice Dentistry |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
Sage, Joshua | Organizer | 402 Enterprise DriveOxford, MS 38655 |
Name | Role |
---|---|
Gardiner, James DMD | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State