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Shoals Obstetrics and Gynecology, LLC

Details

Name: Shoals Obstetrics and Gynecology, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 12 Sep 2013 (11 years ago) (Companies founded in September 2013)
Entity Number: 000-286-715
Register Number: 000286715
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Delaware
Principal Address: 103 Continental Place, Suite 200Brentwood, TN 37027
Registered Office Street Address: 2 North Jackson StreetMontgomery, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083042709 2013-10-15 2021-07-15 541 W COLLEGE ST STE 2600, FLORENCE, AL, 356305365, US 1751 VETERANS DR STE 205, FLORENCE, AL, 356304929, US

Contacts

Phone +1 256-766-2600
Fax 2563831251
Fax 2567688658

Authorized person

Name JULIE OCONNELL
Role AVP
Phone 6159207646

Taxonomy

Taxonomy Code 207V00000X - Obstetrics & Gynecology Physician
Is Primary Yes

Agent

Name Role
C T Corporation System Agent

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State