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Hurtsboro Adult and Pediatric Medicine, LLC

Details

Name: Hurtsboro Adult and Pediatric Medicine, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 29 Aug 2024 (3 months ago) (Companies founded in August 2024)
Entity Number: 001-151-998
Register Number: 001151998
ZIP code: 36860 (Companies in Russell, 36860)
County: Russell
Place of Formation: Alabama
Registered Office Street Address: 512 Main StreetHurtsboro, AL 36860
Registered Office Mailing Address: 733 Annabrook DriveAuburn, AL 36830

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447085089 2024-09-04 2024-09-04 733 ANNABROOK DR, AUBURN, AL, 368307529, US 512 MAIN STREET, HURTSBORO, AL, 36860, US

Contacts

Phone +1 334-332-9130
Phone +1 334-232-6551
Fax 3343849923

Authorized person

Name PAMELA BAKER
Role SOLE MEMBER
Phone 3343329130

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role
Baker, Pamela Agent

Date of last update: 05 Sep 2024

Sources: Alabama Secretary of State