| Name: | DR. TAMMY WALLACE, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 14 Dec 2012 (12 years ago) |
| Date of dissolution: | 30 Dec 2019 |
| Entity Number: | 000-280-355 |
| Register Number: | 000280355 |
| ZIP code: | 36311 |
| County: | Dale |
| Place of Formation: | Dale County |
| Registered Office Street Address: | 888 E MAIN STREETARITON, AL 36311 |
| Registered Office Mailing Address: | PO BOX 1781OZARK, AL 36361 |
Activities
PRACTICE OF OPTOMETRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295118255 | 2015-07-08 | 2015-07-08 | 1234 ANDREWS AVE, SUITE E, OZARK, AL, 363603767, US | 1234 ANDREWS AVE, SUITE E, OZARK, AL, 363603767, US | |||||||||||||||||||
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| Phone | +1 334-445-3937 |
| Fax | 3344453938 |
Authorized person
| Name | DR. TAMMY DARLENE WALLACE |
| Role | OWNER |
| Phone | 3344453937 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | S-C02-TA-822 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| WALLACE, TAMMY | Agent |
| Name | Role |
|---|---|
| WALLACE, TAMMY | Organizer |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
