| Name: | Southeastern Clinics, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 22 Apr 2011 (14 years ago) |
| Entity Number: | 000-010-613 |
| Register Number: | 000010613 |
| ZIP code: | 35242 |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Registered Office Street Address: | 7500 HUGH DANIEL DRIVE SUITE 150BIRMINGHAM, AL 35242 |
Activities
OWN/MANAGE MEDICAL CLINICS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396148169 | 2014-10-07 | 2014-10-07 | 114 HAMRIC DR E STE 5, OXFORD, AL, 362032434, US | 114 HAMRIC DR E STE 5, OXFORD, AL, 362032434, US | |||||||||||||||
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| Phone | +1 256-403-5662 |
| Fax | 2564035673 |
Authorized person
| Name | MR. DAVID GRAY |
| Role | ADMINISTRATOR |
| Phone | 2563103015 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EICHELBERGER, ROBERT P | Agent | 7500 DANIEL DRBIRMINGHAM, AL 35242 |
| Name | Role | Address |
|---|---|---|
| EICHELBERGER, ROBERT P | Organizer | 7500 DANIEL DRBIRMINGHAM, AL 35242 |
| LYLE, JOHN F III | Organizer | PO BOX 2329FAIRHOPE, AL 36533 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
