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Cullman Family Medicine LLC

Details

Name: Cullman Family Medicine LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 20 Sep 2023 (a year ago) (Companies founded in September 2023)
Date of dissolution: 30 Nov 2023
Entity Number: 001-100-245
Register Number: 001100245
ZIP code: 35243 (Companies in Jefferson, 35243)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 4227 Old Brook laneBirmingham, AL 35243

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437938685 2023-09-27 2023-09-27 4227 OLD BROOK LN, MOUNTAIN BRK, AL, 352431717, US 111 4TH AVE NE, CULLMAN, AL, 350551902, US

Contacts

Phone +1 610-416-6579
Phone +1 256-708-2826
Fax 2565731076

Authorized person

Name ALEX SELIGSON
Role OWNER
Phone 6104166579

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role
Seligson, Alex Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State