| Name: | Selma Women's Health, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 04 Mar 2011 (14 years ago) |
| Entity Number: | 000-005-096 |
| Register Number: | 000005096 |
| ZIP code: | 36701 |
| County: | Dallas |
| Place of Formation: | Dallas County |
| Registered Office Street Address: | 1023 MEDICAL CENTER PARKWAY STE 301SELMA, AL 36701 |
Activities
PROVIDE MEDICAL SERVICES FOR OBSTETRICS AND GYNECOLOGY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245520063 | 2011-04-13 | 2013-03-05 | 203 VAUGHAN MEMORIAL DR, SELMA, AL, 367016950, US | 203 VAUGHAN MEMORIAL DR, SELMA, AL, 367016950, US | |||||||||||||||||||
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| Phone | +1 334-874-3633 |
| Fax | 3348754331 |
Authorized person
| Name | DR. BRENT WHIDDON |
| Role | OWNER/MEDICAL DOCTOR |
| Phone | 3348743633 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | MD.30813 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WHIDDON, OLIVIA J | Organizer | 322 BUTTONWOOD COURTCOPPELL, TX 75019 |
| WHIDDON, BRENT B | Organizer | 322 BUTTONWOOD COURTCOPPELL, TX 75019 |
| Name | Role |
|---|---|
| BRENT B WHIDDON MD | Agent |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
