KIMBERLY M ROHALEY MD LLC
Medical Practice at Hillside Dr, Pulaski, TN

License number
Tennessee 43204
Category
Medical Practice
Type
Pediatrics
Owner
Name: KIMBERLY M ROHALEY MD
Title: MD
Phone: (931) 207-8397
Address
Address
202 Hillside Dr, Pulaski, TN 38478
National Provider ID: 1346426822
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KIMBERLY M. ROHALEY, M.D., LLC

Pulaski, TN  -  Fort Myers, FL

Status:
Inactive
Inactive reason:
Admin Dissolution For Annual Report
Registration:
May 14, 2003
Inactive since:
Sep 25, 2009
Addresses:
202 Hillside Dr, Pulaski, TN 38478 (Physical)
9951 Merle Dr, Fort Myers, FL 33917
State ID:
L03000017489
Business type:
Florida Limited Liability Company
Secretarys:
Kimberly Mfaap Rohaley Managing Member, inactive, 202 Hillside Dr, Pulaski, TN 38478 (Physical),Richard L Rohaley Secretary, inactive, 202 Hillside Dr, Pulaski, TN 38478 (Physical)
Agent:
Kimberly Rohaley,9951 Merle Dr, North Fort Myers, FL 33917 (Physical)
EIN:
16-1668879

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