| Name: | Allegra Wellness of Tuscaloosa, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 15 May 2023 (a year ago) |
| Entity Number: | 001-079-449 |
| Register Number: | 001079449 |
| County: | Tuscaloosa |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 4804 Highway 69Northport, AL 35473 |
| Registered Office Street Address ZIP Code: | 35473 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205515848 | 2023-07-12 | 2023-07-12 | PO BOX 440, COTTONDALE, AL, 354530105, US | 4804 HIGHWAY 69 N, NORTHPORT, AL, 354732035, US | |||||||||||||
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| Phone | +1 205-556-5634 |
Authorized person
| Name | MICHELLE HAWTHORNE |
| Role | BILLING MANAGER |
| Phone | 2052922428 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Shirley, Charles J | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
