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Prattville Midwifery LLC

Details

Name: Prattville Midwifery LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 01 Aug 2023 (a year ago) (Companies founded in August 2023)
Entity Number: 001-092-082
Register Number: 001092082
ZIP code: 36066 (Companies in Autauga, 36066)
County: Autauga
Place of Formation: Alabama
Registered Office Street Address: 135 Medical Center DrivePrattville, AL 36066

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427832195 2023-08-23 2024-05-17 136 SCOTT LN, PRATTVILLE, AL, 360665341, US 210 MEDICAL CENTER DR, PRATTVILLE, AL, 360667288, US

Contacts

Phone +1 334-895-3705
Fax 3345686755

Authorized person

Name KIMBERLY TAYLOR
Role OWNER, CNM
Phone 3348953705

Taxonomy

Taxonomy Code 367A00000X - Advanced Practice Midwife
Is Primary Yes

Agent

Name Role
Taylor, Kimberly H Agent

Organizer

Name Role Address
Martin, James G Jr Organizer 8429 Crossland LoopMontgomery, AL 36117

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State