| Name: | Rocket City Pediatrics, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 08 Feb 2024 (a year ago) |
| Entity Number: | 001-120-331 |
| Register Number: | 001120331 |
| ZIP code: | 35763 |
| County: | Madison |
| Place of Formation: | Alabama |
| Registered Office Mailing Address: | 9452 Hampton Oak Dr SEOwens Cross Roads, AL 35763 |
| Registered Office Street Address: | 9452 Hampton Oak Dr SEOwens Cross Road, AL 35763 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013771179 | 2024-02-09 | 2024-02-09 | 303 WILLIAMS AVE SW STE 1211, HUNTSVILLE, AL, 358016082, US | 303 WILLIAMS AVE SW STE 1211, HUNTSVILLE, AL, 358016082, US | |||||||||||||
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| Phone | +1 256-635-8627 |
Authorized person
| Name | ETHAN JACOB WHITE |
| Role | OWNER/PHYSICIAN |
| Phone | 2566358627 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| White, Ethan J | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
