| Name: | Pediatrics at Twilight L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 25 May 2010 (15 years ago) |
| Entity Number: | 000-447-527 |
| Register Number: | 000447527 |
| ZIP code: | 36117 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 7026 SYDNEY CURVEMONTGOMERY, AL 36117 |
Activities
PEDIATRIC DOCTORS OFFICE PROVIDING CARE TO CHILDREN
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912219387 | 2010-07-13 | 2010-07-13 | 128 MITYLENE PARK LN, MONTGOMERY, AL, 361173758, US | 128 MITYLENE PARK LN, MONTGOMERY, AL, 361173758, US | |||||||||||||||||||||||||
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| Phone | +1 334-220-7988 |
| Fax | 3342798214 |
Authorized person
| Name | DR. NORMA B DAVIS |
| Role | OWNER |
| Phone | 3342207988 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | 22426 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 630902059 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| DAVIS, NORMA | Agent | 7026 SYDNEY CURVEMONTGOMERY, AL 36117 |
| Name | Role | Address |
|---|---|---|
| DAVIS, NORMA | Member | 7026 SYDNEY CURVEMONTGOMERY, AL 36117 |
| DAVIS, NORMA B | Member | No data |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
