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Southern Medical Group, Inc.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
CORPORATION SERVICE COMPANY INC Agent 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808

Incorporator

Name Role
LAVENDER, SYDNEY Incorporator

Events

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