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South Alabama Family Care LLC

Details

Name: South Alabama Family Care LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 22 Aug 2023 (a year ago) (Companies founded in August 2023)
Entity Number: 001-095-736
Register Number: 001095736
Historical Names: SOUTH ALABAMA URGENT CARE, LLC
ZIP code: 36541 (Companies in Mobile, 36541)
County: Mobile
Place of Formation: Alabama
Registered Office Street Address: 10067 GRAND BAY WILMER ROAD S, SUITE 100GRAND BAY, AL 36541

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649028960 2024-05-10 2024-07-23 10075 GRAND BAY WILMER RD S, GRAND BAY, AL, 365415003, US 10067 GRAND BAY WILMER RD S STE 100, GRAND BAY, AL, 365415003, US

Contacts

Phone +1 251-865-1852
Fax 2518651854
Phone +1 251-810-9525
Fax 2518109536

Authorized person

Name BRIDGOT PETERS
Role BILLING DIRECTOR
Phone 2514457618

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary No
Taxonomy Code 208000000X - Pediatrics Physician
Is Primary No

Agent

Name Role Address
STOKES, SEAN Agent 8535 GATEWOOD DRIVE NORTHMOBILE, AL 36619

Organizer

Name Role Address
STOKES, SEAN Organizer 8535 GATEWOOD DRIVE NORTHMOBILE, AL 36619

Events

Event Date Event Type Old Value New Value
2024-03-05 Name Change SOUTH ALABAMA URGENT CARE, LLC South Alabama Family Care LLC

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State