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Cedar Street Medical Associates, LLC

Details

Name: Cedar Street Medical Associates, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 30 May 2023 (a year ago)
Entity Number: 001-081-755
Register Number: 001081755
County: Morgan
Place of Formation: Alabama
Registered Office Street Address: 220 CEDAR STREET NWHARTSELLE, AL 35640
Registered Office Street Address ZIP Code: 35640

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780376970 2023-05-24 2023-05-24 586 COUNTY ROAD 1329, VINEMONT, AL, 351796885, US 220 CEDAR ST NW, HARTSELLE, AL, 356402404, US

Contacts

Phone +1 256-338-4059
Phone +1 256-773-2260

Authorized person

Name LORI A HENRY
Role OWNER
Phone 2563384059

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
LORI HENRY Agent 220 CEDAR STREET NWHARTSELLE, AL 35640

Member

Name Role Address
LORI HENRY Member 220 CEDAR STREET NWHARTSELLE, AL 35640

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State