Name: | 4 Points Medical Group, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Limited Liability Company |
Status: | Exists |
Date of registration: | 06 Sep 2024 (6 months ago) |
Entity Number: | 001-153-132 |
Register Number: | 001153132 |
ZIP code: | 36421 |
County: | Covington |
Place of Formation: | Alabama |
Registered Office Street Address: | 109 Opp AvenueAndalusia, AL 36420 |
Registered Office Mailing Address: | PO Box 3Andalusia, AL 36420 |
Principal Address: | 29308 Coaches LaneAndalusia, AL 36421 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1194546986 | 2024-10-23 | 2024-10-23 | 29308 COACHES LN, ANDALUSIA, AL, 364219171, US | 29308 COACHES LN, ANDALUSIA, AL, 364219171, US | |||||||||||||
|
Phone | +1 334-343-4242 |
Authorized person
Name | SHANTELLE SCHINDELER ROS |
Role | CREDENTIALS COORDINATOR |
Phone | 2512096875 |
Taxonomy
Taxonomy Code | 261Q00000X - Clinic/Center |
Is Primary | Yes |
Name | Role |
---|---|
Dugger, Amy | Agent |
Date of last update: 10 Sep 2024
Sources: Alabama Secretary of State