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New Life Family Medicine, LLC

Details

Name: New Life Family Medicine, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 20 Mar 2023 (2 years ago)
Entity Number: 001-069-691
Register Number: 001069691
ZIP code: 35950
County: Marshall
Place of Formation: Alabama
Registered Office Street Address: 1015 Horton RoadAlbertville, AL 35950

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063188589 2021-08-17 2021-09-01 1011 HORTON ROAD, ALBERTVILLE, AL, 359502527, US 1011 HORTON ROAD, ALBERTVILLE, AL, 359502527, US

Contacts

Phone +1 256-677-1475

Authorized person

Name FRANCESA CERIMELE
Role OWNER
Phone 2566771475

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role
Cerimele, Francesca Puckett Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State