| Name: | Jon R. Moody Internal Medicine, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 10 Feb 2023 (2 years ago) (Companies founded in February 2023) |
| Entity Number: | 001-062-741 |
| Register Number: | 001062741 |
| ZIP code: | 35805 (Companies in Madison, 35805) |
| County: | Madison |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 2101 West Clinton Avenue Suite 102Huntsville, AL 35805 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528768439 | 2023-03-08 | 2023-03-08 | 420 LOWELL DR SE STE 106, HUNTSVILLE, AL, 358013755, US | 420 LOWELL DR SE STE 106, HUNTSVILLE, AL, 358013755, US | |||||||||||||||
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| Phone | +1 256-535-5964 |
| Fax | 2565355963 |
Authorized person
| Name | JON R MOODY |
| Role | PHYSICIAN/OWNER |
| Phone | 2565355964 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Lanier Ford Shaver & Payne P.C. | Agent | 2101 Clinton Avneue West, Suite 102Huntsville, AL 35805 |
| Name | Role | Address |
|---|---|---|
| Pendergrass, J. Clark Esq. | Organizer | 2101 West Clinton Avenue Suite 102Huntsville, AL 35805 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
