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Stoney Brook Emergency Physicians, LLC

Details

Name: Stoney Brook Emergency Physicians, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 01 Apr 2013 (12 years ago) (Companies founded in April 2013)
Entity Number: 000-280-621
Register Number: 000280621
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Tennessee
Principal Address: 1990 MADISON ST STE 102CLARKSVILLE, TN 37043
Registered Office Street Address: 2 N JACKSON STREET, SUITE 605MONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235575622 2013-05-13 2013-05-13 PO BOX 31747, CLARKSVILLE, TN, 370400030, US 1701 PELHAM RD S, JACKSONVILLE, AL, 362653369, US

Contacts

Fax 2053135245
Phone +1 256-435-4970

Authorized person

Name MARK E GREEN
Role PRESIDENT
Phone 9312490655

Taxonomy

Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary Yes

Agent

Name Role
COGENCY GLOBAL INC. Agent

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State