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Coosa River Emergency Physicians LLC

Details

Name: Coosa River Emergency Physicians LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 01 Jun 2012 (12 years ago) (Companies founded in June 2012)
Entity Number: 000-282-928
Register Number: 000282928
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
1194088716 2012-06-19 2012-06-19 P.O. BOX 31328, CLARKSVILLE, TN, 37040, US 400 E 100TH STREET, ANNISTON, AL, 36202, US

Contacts

Phone +1 256-235-5121

Authorized person

Name DR. MARK E GREEN
Role PRESIDENT/CEO
Phone 9316146379

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