| Name: | Longleaf Primary Care, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 Jun 2022 (2 years ago) (Companies founded in June 2022) |
| Entity Number: | 001-024-277 |
| Register Number: | 001024277 |
| ZIP code: | 36205 (Companies in Calhoun, 36205) |
| County: | Calhoun |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 171 Town Center Drive, Suite M1Anniston, AL 36205 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255062832 | 2022-06-23 | 2022-06-23 | PO BOX 5430, ANNISTON, AL, 362050430, US | 171 TOWN CENTER DR, ANNISTON, AL, 362054102, US | |||||||||||||||
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| Phone | +1 256-237-1624 |
| Fax | 2562412277 |
Authorized person
| Name | MS. RENEE DAVIS |
| Role | ADMINISTRATOR |
| Phone | 2562371624 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Urquhart, Charles K M.D. | Agent | 171 Town Center Drive, Suite M1Anniston, AL 36205 |
| Name | Role | Address |
|---|---|---|
| Urquhart, Charles K M.D. | Organizer | 171 Town Center Drive, Suite M1Anniston, AL 36205 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
