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Brookwood Primary Care-Vestavia, L.L.C.

Details

Name: Brookwood Primary Care-Vestavia, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 29 Sep 2010 (14 years ago)
Date of dissolution: 01 Jul 2022
Entity Number: 000-302-373
Register Number: 000302373
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 2 NORTH JACKSON STMONTGOMERY, AL 36104
Registered Office Street Address ZIP Code: 36104

Activities HEALTH CARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225348527 2010-10-20 2016-05-26 4902 VALLEYDALE RD, BIRMINGHAM, AL, 352424613, US 2017 CANYON RD, SUITE 39, VESTAVIA, AL, 352161900, US

Contacts

Phone +1 205-980-8099
Fax 2059802606
Phone +1 205-871-7746
Fax 2058719234

Authorized person

Name MR. WESLEY O. JAMES
Role REGIONAL CFO, TENET
Phone 4042655009

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Member

Name Role Address
BROOKWOOD PRIMARY NETWORK CARE INC Member 1445 ROSS AVENUE SUITE 1400DALLAS, TX 75202

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State