| Name: | SET APART PEDIATRICS LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 Aug 2023 (a year ago) |
| Entity Number: | 001-092-595 |
| Register Number: | 001092595 |
| ZIP code: | 35775 |
| County: | Morgan |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 1862 Sharp Ford RoadValhermoso Springs, AL 35775 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124847983 | 2024-10-08 | 2024-10-08 | 1862 SHARP FORD RD, VALHERMOSO SPRINGS, AL, 357757502, US | 2112 6TH AVE SE, DECATUR, AL, 356016510, US | |||||||||||||||||
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| Phone | +1 256-508-1682 |
| Phone | +1 256-274-5640 |
| Fax | 2562745642 |
Authorized person
| Name | KIMBERLY A DUDLEY |
| Role | OWNER PHYSICIAN |
| Phone | 2565081682 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Dudley, Kimberly | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
