Admin Client || Dee Karawadra

Created On Aug, 26 2024 20:27pm ID #7802 Back

Merchant (Business) DBA Name : Whiteville Medical Center LLC

Business Legal Name : Whiteville Medical Center LLC

Contact Name : Mary Ann Lockhart

Contact Phone Number : 731-254-8999

Physical Address : 2400 U.S. 64

City : Whiteville

State : TN

Country : USA

Zip : 38075

Email Address : [email protected]

<?xml version="1.0"?>
<object>
  <sales_number>12232233</sales_number>
  <sales_office/>
  <sales_signing_rep/>
  <irs_tax_id_type>Employer Identification Number</irs_tax_id_type>
  <irs_tax_id_no>99-4567308</irs_tax_id_no>
  <ownership_type>LLC</ownership_type>
  <business_incorporated>Tennessee (TN)</business_incorporated>
  <business_description>Medical Care</business_description>
  <mailing_address>2400 U.S. 64</mailing_address>
  <mailing_city>Whiteville</mailing_city>
  <mailing_state>TN</mailing_state>
  <mailing_zip>38075</mailing_zip>
  <business_phone>731-254-8999</business_phone>
  <contact_first_name>Mary</contact_first_name>
  <contact_last_name>Ann</contact_last_name>
  <contact_phone>731-254-8999</contact_phone>
  <location_address>2400 U.S. 64</location_address>
  <location_city>Whiteville</location_city>
  <location_state>TN</location_state>
  <location_zip>38075</location_zip>
  <avg_ticket_amount>50.00</avg_ticket_amount>
  <ave_month_volume>18000.00</ave_month_volume>
  <bank_name>The Bank of Fayette County</bank_name>
  <bank_transit_number>084304337</bank_transit_number>
  <bank_dda_no>10289771</bank_dda_no>
  <gross_vs_net>Net Settlement</gross_vs_net>
  <refund_policy>3</refund_policy>
  <owner1_first_name>Mary</owner1_first_name>
  <owner1_last_name>Ann</owner1_last_name>
  <owner1_home_address>6205 Greenlee St</owner1_home_address>
  <owner1_home_city>Arlington</owner1_home_city>
  <owner1_home_state>TN</owner1_home_state>
  <owner1_home_zip>38002</owner1_home_zip>
  <owner1_home_phone>901-483-5370</owner1_home_phone>
  <owner1_title>Owner</owner1_title>
  <owner1_ownership_perc>100</owner1_ownership_perc>
  <owner1_dob>1982-01-10</owner1_dob>
  <owner1_social_securrity_no>409-57-9289</owner1_social_securrity_no>
  <owner1_form_of_id>Drivers License</owner1_form_of_id>
  <owner1_number>088844793</owner1_number>
  <owner1_expired>2024-10-05</owner1_expired>
  <owner1_issuer_state>TN</owner1_issuer_state>
  <owner1_issued_date>2016-10-05</owner1_issued_date>
</object>

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