| Name: | Queen City Women's Health LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Jun 2022 (2 years ago) |
| Entity Number: | 001-025-863 |
| Register Number: | 001025863 |
| County: | Dallas |
| Place of Formation: | Alabama |
| Registered Office Mailing Address: | 207 Crestwood DriveSelma, AL 36701 |
| Registered Office Mailing Address ZIP Code: | 36701 |
| Registered Office Street Address: | 2183 Broad StreetSelma, AL 36701 |
| Registered Office Street Address ZIP Code: | 36701 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316668403 | 2022-09-07 | 2022-09-07 | 207 CRESTWOOD DR, SELMA, AL, 367016044, US | 108 BROAD ST, SELMA, AL, 367014639, US | |||||||||||||||||
|
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| Phone | +1 334-505-0873 |
Authorized person
| Name | MS. COURTNEY CAMILLE CARTER |
| Role | NURSE PRACTITIONER/OWNER |
| Phone | 3345050873 |
Taxonomy
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LX0001X - Obstetrics & Gynecology Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Carter, Courtney C | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
