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SRD Helton Drive, PLLC

Details

Name: SRD Helton Drive, PLLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 09 Mar 2023 (2 years ago)
Entity Number: 001-067-931
Register Number: 001067931
County: Colbert
Place of Formation: Alabama
Registered Office Street Address: 110 East 5th StreetTuscumbia, AL 35674
Registered Office Street Address ZIP Code: 35674

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609579515 2023-03-22 2023-04-04 2461 HELTON DR, FLORENCE, AL, 356301067, US 2461 HELTON DR, FLORENCE, AL, 356301067, US

Contacts

Phone +1 256-767-7141

Authorized person

Name JAMES GARDINER
Role OWNER
Phone 2563834990

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role
Gardiner, James Agent

Organizer

Name Role Address
Edmondson, Gray G Organizer 402 Enterprise DriveOxford, MS 38655

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State