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Greystone Internal Medicine - Brookwood, L.L.C.

Details

Name: Greystone Internal Medicine - Brookwood, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 30 Jun 2011 (13 years ago) (Companies founded in June 2011)
Date of dissolution: 01 Jul 2022
Entity Number: 000-017-889
Register Number: 000017889
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Activities HEALTH CARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558649103 2011-08-01 2016-06-08 4902 VALLEYDALE RD, BIRMINGHAM, AL, 352424613, US 101 MISSIONARY RDG, SUITE 200, BIRMINGHAM, AL, 352425202, US

Contacts

Phone +1 205-980-8099
Fax 2059802606
Phone +1 205-995-2260
Fax 2059800133

Authorized person

Name MR. WESLEY O. JAMES
Role REGIONAL CFO, TENET
Phone 4042655009

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339

Organizer

Name Role Address
MACK, KRISTINA A Organizer 1445 ROSS AVENUE SUITE 1400DALLAS, TX 75202

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State