| Name: | Internal Medical Clinic of Thomasville, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 30 Apr 2007 (18 years ago) |
| Entity Number: | 000-493-810 |
| Register Number: | 000493810 |
| ZIP code: | 36784 |
| County: | Clarke |
| Place of Formation: | Clarke County |
| Principal Address: | THOMASVILLE, AL |
| Registered Office Street Address: | 411 WILSON AVE WTHOMASVILLE, AL 36784 |
Activities
FILE BILLS FOR PATIENTS IN HOSPITALS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295923076 | 2007-10-05 | 2007-10-08 | 411 WILSON AVE W, THOMASVILLE, AL, 367842015, US | 411 WILSON AVE W, THOMASVILLE, AL, 367842015, US | |||||||||||||||
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| Phone | +1 334-636-5696 |
| Fax | 3346360086 |
Authorized person
| Name | MRS. JUDY A MOORE |
| Role | INSURANCE CLERK |
| Phone | 3346360793 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| HANIF, MUHAMMAD | Agent |
| Name | Role |
|---|---|
| HANIF, MUHAMMAD | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
