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HealthyConnect of Montgomery, PLLC

Details

Name: HealthyConnect of Montgomery, PLLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Dissolved
Date of registration: 22 Aug 2023 (a year ago)
Date of dissolution: 17 Sep 2024
Entity Number: 001-095-580
Register Number: 001095580
ZIP code: 36303
County: Houston
Place of Formation: Alabama
Registered Office Street Address: 212 W. Troy St. STE BDothan, AL 36303

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881474344 2023-10-03 2023-10-03 1633 PERRY HILL RD, MONTGOMERY, AL, 361062729, US 1633 PERRY HILL RD, MONTGOMERY, AL, 361062729, US

Contacts

Phone +1 334-386-8813
Fax 3343868813

Authorized person

Name WENDY HUGHES
Role ADMIN
Phone 3343868813

Taxonomy

Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary No
Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
Registered Agents Inc Agent 212 W. Troy St. STE BDothan, AL 36303

Organizer

Name Role Address
Jones, Robin Organizer 212 W. Troy St. STE BDothan, AL 36303

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State