| Name: | Forge Health & Wellness, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 22 Nov 2022 (2 years ago) |
| Entity Number: | 001-050-435 |
| Register Number: | 001050435 |
| County: | Houston |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 2970 Ross Clark Circle, Suite 2Dothan, AL 36301 |
| Registered Office Street Address ZIP Code: | 36301 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427762384 | 2023-01-05 | 2023-06-07 | 102 CLARKSDALE CT, DOTHAN, AL, 363051270, US | 2970 ROSS CLARK CIR STE 2, DOTHAN, AL, 363011107, US | |||||||||||||||
|
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| Phone | +1 334-790-4090 |
| Fax | 3346039532 |
Authorized person
| Name | DENNIS WADE STEWART |
| Role | OWNER/DIRECTOR |
| Phone | 3347904090 |
Taxonomy
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Stewart, Dennis W | Organizer | 2970 Ross Clark Circle, Suite 2Dothan, AL 36301 |
| Name | Role | Address |
|---|---|---|
| Stewart, Dennis W | Agent | 2970 Ross Clark Circle, Suite 2Dothan, AL 36301 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
