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Tennessee Valley Surgery Group, P.C.

Details

Name: Tennessee Valley Surgery Group, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 18 Jul 2002 (22 years ago) (Companies founded in July 2002)
Entity Number: 000-224-042
Register Number: 000224042
ZIP code: 35630 (Companies in Lauderdale, 35630)
County: Lauderdale
Place of Formation: Lauderdale County
Principal Address: FLORENCE, AL
Registered Office Street Address: 421 N COURT STFLORENCE, AL 35630
Authorized Capital: 1,000

Activities PRACTICE MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356309652 2006-05-03 2020-05-06 1751 VETERANS DR STE 125, FLORENCE, AL, 356304932, US 1751 VETERANS DR STE 125, FLORENCE, AL, 35630, US

Contacts

Phone +1 256-766-0150
Fax 2567644638

Authorized person

Name SHEREE E LOONEY
Role OFFICE MANAGER
Phone 2567660150

Taxonomy

Taxonomy Code 208600000X - Surgery Physician
Is Primary Yes

Other Provider Identifiers

Issuer LICENSE
Number MD.25005
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TENNESSEE VALLEY SURGERY GROUP, P. C. EMPLOYEES SAVINGS TRUST 2023 043692559 2024-07-19 TENNESSEE VALLEY SURGERY GROUP, P.C 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2567643272
Plan sponsor’s address 421 N. COURT ST., FLORENCE, AL, 35630

Signature of

Role Plan administrator
Date 2024-07-19
Name of individual signing BRADFORD LYNCH
Role Employer/plan sponsor
Date 2024-07-19
Name of individual signing BRADFORD LYNCH
TENNESSEE VALLEY SURGERY GROUP, P.C. EMPLOYEES SAVINGS TRUST 2022 043692559 2023-08-09 TENNESSEE VALLEY SURGERY GROUP, P.C 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2567643272
Plan sponsor’s address 421 N. COURT ST., FLORENCE, AL, 35630

Signature of

Role Plan administrator
Date 2023-08-09
Name of individual signing BRADFORD LYNCH
Role Employer/plan sponsor
Date 2023-08-09
Name of individual signing BRADFORD LYNCH
TENNESSEE VALLEY SURGERY GROUP, P. C. EMPLOYEES SAVINGS TRUST 2021 043692559 2022-08-17 TENNESSEE VALLEY SURGERY GROUP, P.C 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2567643272
Plan sponsor’s address 421 N. COURT ST., FLORENCE, AL, 35630

Signature of

Role Plan administrator
Date 2022-08-17
Name of individual signing BRADFORD A LYNCH
Role Employer/plan sponsor
Date 2022-08-17
Name of individual signing BRADFORD A LYNCH
TENNESSEE VALLEY SURGERY GROUP, P. C. EMPLOYEES SAVINGS TRUST 2020 043692559 2021-08-16 TENNESSEE VALLEY SURGERY GROUP, P.C 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2567643272
Plan sponsor’s address 421 N. COURT ST., FLORENCE, AL, 35630

Signature of

Role Plan administrator
Date 2021-08-16
Name of individual signing BRADFORD LYNCH
Role Employer/plan sponsor
Date 2021-08-16
Name of individual signing BRADFORD LYNCH
TENNESSEE VALLEY SURGERY GROUP, P. C. EMPLOYEES SAVINGS TRUST 2019 043692559 2020-09-01 TENNESSEE VALLEY SURGERY GROUP, P.C 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2567643272
Plan sponsor’s address 421 N. COURT ST., FLORENCE, AL, 35630

Signature of

Role Plan administrator
Date 2020-09-01
Name of individual signing BRADFORD LYNCH
TENNESSEE VALLEY SURGERY GROUP, P. C. EMPLOYEES 2018 043692559 2019-10-02 TENNESSEE VALLEY SURGERY GROUP, P.C 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2567643272
Plan sponsor’s address 421 N. COURT ST., FLORENCE, AL, 35630

Signature of

Role Plan administrator
Date 2019-10-02
Name of individual signing BRADFORD A LYNCH
TENNESSEE VALLEY SURGERY GROUP, P.C. EMPLOYEES SAVINGS TRUST 2017 043692559 2018-10-05 TENNESSEE VALLEY SURGERY GROUP, P.C 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2567643272
Plan sponsor’s address 421 N. COURT ST., FLORENCE, AL, 35630

Signature of

Role Plan administrator
Date 2018-10-05
Name of individual signing BRADFORD A. LYNCH
TENNESSEE VALLEY SURGERY GROUP, P.C. EMPLOYEES SAVINGS TRUST 2016 043692559 2017-07-04 TENNESSEE VALLEY SURGERY GROUP, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2567643272
Plan sponsor’s address 421 N. COURT ST., FLORENCE, AL, 35630

Signature of

Role Plan administrator
Date 2017-07-04
Name of individual signing BRADFORD A. LYNCH
TENNESSEE VALLEY SURGERY GROUP, P.C. EMPLOYEES SAVINGS TRUST 2015 043692559 2016-06-20 TENNESSEE VALLEY SURGERY GROUP, P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2567643272
Plan sponsor’s address 421 N. COURT ST., FLORENCE, AL, 35630

Signature of

Role Plan administrator
Date 2016-06-20
Name of individual signing BRADFORD A. LYNCH
TENNESSEE VALLEY SURGERY GROUP, P.C. EMPLOYEES SAVINGS TRUST 2014 043692559 2015-07-29 TENNESSEE VALLEY SURGERY GROUP, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2567643272
Plan sponsor’s address 421 N. COURT ST., FLORENCE, AL, 35630

Signature of

Role Plan administrator
Date 2015-07-29
Name of individual signing BRADFORD A. LYNCH

Incorporator

Name Role Address
SANDERS, RICHARD D Incorporator 3530 INDEPENDENCE DRBIRMINGHAM, AL 35209

Agent

Name Role
LYNCH, BRADFORD A Agent

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State