| Name: | Magnolia Primary Care LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 28 Oct 2020 (4 years ago) |
| Entity Number: | 000-803-518 |
| Register Number: | 000803518 |
| Place of Formation: | Houston County |
| Registered Office Street Address: | 212 W TROY ST STE BDOTHAN, AL |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013518265 | 2020-11-04 | 2021-01-13 | 4245 BALMORAL DR SW STE 102, HUNTSVILLE, AL, 358016456, US | 4245 BALMORAL DR SW STE 102, HUNTSVILLE, AL, 358016456, US | |||||||||||||||
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| Phone | +1 256-203-6676 |
| Fax | 8339790980 |
Authorized person
| Name | DR. ROHINI RAMAMOORTHY |
| Role | PHYSICIAN |
| Phone | 2562036676 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REGISTERED AGENTS INC | Agent | 212 W. TROY ST. STE BDOTHAN, AL 36303 |
| Name | Role | Address |
|---|---|---|
| PEREZ, AYLEEN | Organizer | 212 W TROY ST STE BDOTHAN, AL |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
