| Name: | Bonnie J Dungan, MD, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 16 Feb 2021 (4 years ago) |
| Entity Number: | 000-835-702 |
| Register Number: | 000835702 |
| ZIP code: | 36301 |
| County: | Houston |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 1736 E. Main StDothan, AL 36301 |
| Registered Office Mailing Address: | 1736 E Main StDothan, AL 36301 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699369199 | 2021-02-24 | 2021-02-24 | 134 TELFORD PL, DOTHAN, AL, 363056954, US | 1736 E MAIN ST, DOTHAN, AL, 363013040, US | |||||||||||||
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| Phone | +1 334-796-2380 |
Authorized person
| Name | BONNIE J DUNGAN |
| Role | SOLE MEMBER |
| Phone | 3347962328 |
Taxonomy
| Taxonomy Code | 273Y00000X - Rehabilitation Hospital Unit |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Dungan, Bonnie L MD | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
