| Name: | South Alabama Anesthesia, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 17 May 2013 (12 years ago) (Companies founded in May 2013) |
| Date of dissolution: | 07 Feb 2017 |
| Entity Number: | 000-272-456 |
| Register Number: | 000272456 |
| ZIP code: | 36420 (Companies in Covington, 36420) |
| County: | Covington |
| Place of Formation: | Covington County |
| Principal Mailing Address: | PO BOX 10326GREENSBORO, NC 27404 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104 |
| Principal Address: | 849 SOUTH THREE NOTCH STANDALUSIA, AL 36420 |
Activities
ANESTHESIA SERVICE PROVIDER
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013353291 | 2013-05-15 | 2013-05-15 | PO BOX 10326, GREENSBORO, NC, 274040326, US | 849 S THREE NOTCH ST, ANDALUSIA, AL, 364205325, US | |||||||||||||||||
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| Phone | +1 336-852-6525 |
| Fax | 3368526527 |
| Phone | +1 334-222-8466 |
Authorized person
| Name | KEITH R JOHNSON |
| Role | DIRECTOR |
| Phone | 9123386511 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339 |
| Name | Role | Address |
|---|---|---|
| WEEKS, JIM | Organizer | No data |
| JOHNSON, KEITH R | Organizer | 1060 WOODS RDWAYCROSS, GA 31501 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
