| Name: | Tadpole Pediatrics, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 29 Mar 2023 (2 years ago) |
| Entity Number: | 001-071-472 |
| Register Number: | 001071472 |
| County: | Tallapoosa |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 44 Aliant ParkwayAlexander City, AL 35010 |
| Registered Office Street Address ZIP Code: | 35010 |
| Registered Office Mailing Address: | 2230 Coosa County Road 40Kellyton, AL 35089 |
| Registered Office Mailing Address ZIP Code: | 35089 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134814155 | 2023-04-06 | 2023-04-06 | PO BOX 2008, ALEXANDER CITY, AL, 350112008, US | 44 ALIANT PKWY, ALEXANDER CITY, AL, 350103466, US | |||||||||||||||
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| Phone | +1 256-234-4443 |
| Fax | 2562343686 |
Authorized person
| Name | MARIE HANNA |
| Role | OWNER |
| Phone | 2562344443 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Hanna, Marie J | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
