Name: | Southern Medical Group, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 21 Nov 1990 (34 years ago) (Companies founded in November 1990) |
Entity Number: | 000-140-264 |
Register Number: | 000140264 |
Historical Names: |
Emergency Medical Management, Inc.
|
ZIP code: | 36104 (Companies in Montgomery, 36104) |
County: | Montgomery |
Place of Formation: | Jefferson County |
Principal Address: | DOTHAN, AL |
Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
Authorized Capital: | $5,000 |
Activities
EMERGENCY MEDICAL FACILITIES & CLINICS
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1336359983 | 2007-05-23 | 2018-06-21 | 1200 CORPORATE DR, SUITE 230, BIRMINGHAM, AL, 352422941, US | 1000 1ST ST N, ALABASTER, AL, 350078703, US | |||||||||||||||||||
|
Phone | +1 205-995-7980 |
Fax | 2059957985 |
Phone | +1 205-620-8133 |
Fax | 2056208889 |
Authorized person
Name | MS. CLARICE D KENNEDY |
Role | PROVIDER ENROLLMENT SPECIALIST |
Phone | 2059957980 |
Taxonomy
Taxonomy Code | 207P00000X - Emergency Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
Name | Role |
---|---|
LAVENDER, SYDNEY | Incorporator |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
1992-02-11 | Name Merged | No data | Southern Medical Group, P.C. |
1992-02-11 | Name Change | Emergency Medical Management, Inc. | Southern Medical Group, Inc. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State