| Name: | Central Alabama Primary Care, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 17 Jul 2024 (6 months ago) |
| Entity Number: | 001-145-369 |
| Register Number: | 001145369 |
| ZIP code: | 36106 |
| County: | Montgomery |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 4163 LOMAC STREETMONTGOMERY, AL 36106 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528885795 | 2024-09-20 | 2024-09-20 | 4163 LOMAC ST, MONTGOMERY, AL, 361062881, US | 4163 LOMAC ST, MONTGOMERY, AL, 361062881, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 334-819-4770 |
| Fax | 8884402618 |
Authorized person
| Name | DR. PETER KROTHAPALLI |
| Role | SOLE MEMBER/OWNER |
| Phone | 3344141580 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Krothapalli, Peter | Agent |
| Name | Role | Address |
|---|---|---|
| Tucker, Michael D | Organizer | 420 20th St N Suite 1400Birmingham, AL 35203 |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
