| Name: | TruCare Family Medicine LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Series Limited Liability Company |
| Status: | Exists |
| Date of registration: | 08 May 2024 (10 months ago) |
| Entity Number: | 001-135-246 |
| Register Number: | 001135246 |
| ZIP code: | 36106 |
| County: | Montgomery |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 4282 LOMAC STREETMONTGOMERY, AL 36106 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285460360 | 2024-09-13 | 2024-09-13 | 4282 LOMAC ST, MONTGOMERY, AL, 361063604, US | 4282 LOMAC ST, MONTGOMERY, AL, 361063604, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 205-294-1080 |
Authorized person
| Name | JOYCE MARTIN |
| Role | CREDENTIALING |
| Phone | 3343914949 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BROOKE BENTON | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
