| Name: | ABC Pediatrics West, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 06 Nov 2023 (a year ago) (Companies founded in November 2023) |
| Entity Number: | 001-106-909 |
| Register Number: | 001106909 |
| ZIP code: | 35501 (Companies in Walker, 35501) |
| County: | Walker |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 400 19TH STREET EASTJASPER, AL 35501 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316714512 | 2023-12-07 | 2023-12-07 | 400 19TH ST E, JASPER, AL, 355015416, US | 400 19TH ST E, JASPER, AL, 355015416, US | |||||||||||||||
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| Phone | +1 205-936-8107 |
| Fax | 2055122548 |
Authorized person
| Name | MRS. LEAH VARDEN GANN |
| Role | CERTIFIED RN PRACTITIONER |
| Phone | 2059368107 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| LEAH GANN | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
