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Gordon T. Connor, M.D., LLC

Details

Name: Gordon T. Connor, M.D., LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 15 Feb 2023 (2 years ago) (Companies founded in February 2023)
Entity Number: 001-063-495
Register Number: 001063495
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 2018 Brookwood Medical Center Drive, Suite 209Birmingham, AL 35209

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992409395 2023-03-29 2023-03-29 2018 BROOKWOOD MED CTR DR STE 209, BIRMINGHAM, AL, 352096870, US 2018 BROOKWOOD MED CTR DR STE 209, BIRMINGHAM, AL, 352096870, US

Contacts

Phone +1 205-877-2193
Fax 2058772196

Authorized person

Name MRS. KIMBERLY KAY SULLENS
Role OFFICE MANAGER
Phone 2058772193

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role
Connor, Gordon T M.D. Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State