| Name: | Fairview Family Clinic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 20 Jun 2024 (5 months ago) (Companies founded in June 2024) |
| Entity Number: | 001-141-621 |
| Register Number: | 001141621 |
| ZIP code: | 35754 (Companies in Morgan, 35754) |
| County: | Morgan |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 485 APPLE GROVE ROADLACEY'S SPRINGS, AL 35754 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326873514 | 2024-09-05 | 2024-09-05 | PO BOX 1370, CULLMAN, AL, 350561370, US | 485 APPLE GROVE RD, LACEYS SPRING, AL, 357546551, US | |||||||||||||||||
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| Phone | +1 256-595-8554 |
| Fax | 2568530850 |
| Phone | +1 256-640-5761 |
Authorized person
| Name | KINDRA EDWARDS |
| Role | PRESIDENT |
| Phone | 2566405761 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KINDRA EDWARDS | Agent | 485 APPLE GROVE ROADLACEY'S SPRINGS, AL 35754 |
| Name | Role | Address |
|---|---|---|
| KINDRA EDWARDS | Member | 485 APPLE GROVE ROADLACEY'S SPRINGS, AL 35754 |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
