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Heart Institute of Andalusia, LLC

Details

Name: Heart Institute of Andalusia, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 16 May 2014 (10 years ago)
Entity Number: 000-309-833
Register Number: 000309833
County: Covington
Place of Formation: Covington County
Registered Office Street Address: 5 EAST COURT SQUAREANDALUSIA, AL 36420
Registered Office Street Address ZIP Code: 36420

Activities MEDICAL OFFICE PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780096263 2014-06-02 2014-06-02 215 MEDICAL PARK DR, SUITE 1, ANDALUSIA, AL, 364205354, US 215 MEDICAL PARK DR, SUITE 1, ANDALUSIA, AL, 364205354, US

Contacts

Phone +1 334-222-4327
Fax 3342224333

Authorized person

Name GREGORY D PRICE
Role MD, OWNER
Phone 3342224327

Taxonomy

Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
Is Primary Yes
Taxonomy Code 207UN0901X - Nuclear Cardiology Physician
Is Primary No

Agent

Name Role
MURPHY, J M Agent

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State