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North Alabama Neuroservices, LLC

Details

Name: North Alabama Neuroservices, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 31 May 2013 (11 years ago) (Companies founded in May 2013)
Entity Number: 000-275-188
Register Number: 000275188
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Delaware
Principal Address: 103 CONTINENTAL PLACE STE 200BRENTWOOD, TN 37027
Registered Office Street Address: 2 NORTH JACKSON STREET STE 605MONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639516339 2013-06-04 2021-07-15 426 E DR HICKS BLVD, FLORENCE, AL, 356305763, US 2129 HELTON DR, FLORENCE, AL, 356301069, US

Contacts

Phone +1 256-764-7721
Fax 2567648589
Phone +1 256-980-6214
Fax 2567689187

Authorized person

Name KATHY TEAGUE
Role AVP
Phone 6159207646

Taxonomy

Taxonomy Code 204D00000X - Neuromusculoskeletal Medicine & OMM Physician
Is Primary No
Taxonomy Code 207T00000X - Neurological Surgery Physician
Is Primary Yes
Taxonomy Code 208M00000X - Hospitalist Physician
Is Primary No

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State