| Name: | Sweet Home Primary Care, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 04 Oct 2023 (a year ago) |
| Entity Number: | 001-102-379 |
| Register Number: | 001102379 |
| County: | Tuscaloosa |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 2231 Trenton DriveTuscaloosa, AL 35406 |
| Registered Office Street Address ZIP Code: | 35406 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235911595 | 2023-10-19 | 2023-10-19 | PO BOX 1962, TUSCALOOSA, AL, 354031962, US | 2231 TRENTON DR, TUSCALOOSA, AL, 354061622, US | |||||||||||||||
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| Phone | +1 205-657-0711 |
| Fax | 2052707118 |
Authorized person
| Name | MRS. TIFFANY WILLIAMS |
| Role | OWNER, PROVIDER |
| Phone | 2055233435 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Williams, Tiffany D | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
