| Name: | FMC MEDICAL CLINIC - BERRY, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 10 Nov 2022 (2 years ago) (Companies founded in November 2022) |
| Entity Number: | 001-048-842 |
| Register Number: | 001048842 |
| ZIP code: | 35401 (Companies in Tuscaloosa, 35401) |
| County: | Tuscaloosa |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 809 UNIVERSITY BLVD. EASTTUSCALOOSA, AL 35401 |
| Registered Office Mailing Address: | 32 SCHOOL AVE.BERRY, AL 35546 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588376800 | 2022-12-19 | 2022-12-19 | 3901 GREENSBORO AVE STE A, TUSCALOOSA, AL, 354053771, US | 32 SCHOOL AVE, BERRY, AL, 355462246, US | |||||||||||||||
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| Phone | +1 205-759-6165 |
| Phone | +1 205-689-0909 |
Authorized person
| Name | MR. DANIEL CLAY CONVILLE |
| Role | CORP DIRECTOR, PHYSICIAN SERVICES |
| Phone | 2057596165 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DUSANG, NINA | Agent | 809 UNIVERSITY BOULEVARD EASTTUSCALOOSA, AL 35401 |
| Name | Role | Address |
|---|---|---|
| E Snow, Stephen | Organizer | 1201 Greensboro Ave.Tuscaloosa, AL 35401 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
