| Name: | Physician Services of Alabama, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 31 Jan 2011 (14 years ago) (Companies founded in January 2011) |
| Entity Number: | 000-002-767 |
| Register Number: | 000002767 |
| ZIP code: | 36203 (Companies in Calhoun, 36203) |
| County: | Calhoun |
| Place of Formation: | Calhoun County |
| Registered Office Street Address: | 620 QUINTARD DRIVEOXFORD, AL 36203 |
Activities
GENERAL PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942506852 | 2011-02-10 | 2011-03-11 | 620 QUINTARD DR, OXFORD, AL, 362031840, US | 1701 PELHAM RD S, JACKSONVILLE, AL, 362653369, US | |||||||||||||||||
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| Phone | +1 256-835-8885 |
| Fax | 2568358016 |
Authorized person
| Name | DR. CHARLIE G WILLIAMS JR. |
| Role | MANAGING MEMBER |
| Phone | 2562395830 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILLIAM, CHARLIE | Organizer | No data |
| PUMROY, JAY F | Organizer | 1431 LEIGHTON AVENUEANNISTON, AL 36207 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, CHARLIE G | Member | 1431 LEIGHTON AVENUEANNISTON, AL 36207 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, CHARLIE G | Agent | 1431 LEIGHTON AVENUEANNISTON, AL 36207 |
Date of last update: 29 Jul 2024
Sources: Alabama Secretary of State
