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Nephrology Medical Associates of Georgia, LLC

Details

Name: Nephrology Medical Associates of Georgia, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 28 Sep 2001 (23 years ago) (Companies founded in September 2001)
Entity Number: 000-286-603
Register Number: 000286603
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Georgia
Principal Address: 2000 16th StreetDenver, CO 80202
Principal Mailing Address: 601 HAWAII STREETEL SEGUNDO, CA 90245-4814
Registered Office Street Address: 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407192172 2012-12-27 2022-07-21 1840 E. RAY ROAD, CHANDLER, AZ, 85225, US 3570 GRANDVIEW PKWY STE 2, BIRMINGHAM, AL, 352432064, US

Contacts

Phone +1 205-354-2100
Fax 8663436766

Authorized person

Name JENNIE PETERSON
Role VP OF OPERATIONS
Phone 2059831120

Taxonomy

Taxonomy Code 207RN0300X - Nephrology Physician
Is Primary Yes

Agent

Name Role Address
CORPORATION SERVICE COMPANY INC Agent 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State