| Name: | PhySynergy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 May 2012 (13 years ago) (Companies founded in May 2012) |
| Entity Number: | 000-314-293 |
| Register Number: | 000314293 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Georgia |
| Principal Address: | 1458 BATON ROUGE WAYGRAYSON, GA 30017 |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093173502 | 2016-01-29 | 2016-02-11 | PO BOX 52404, LAFAYETTE, LA, 705052404, US | 3719 DAUPHIN ST, MOBILE, AL, 366081798, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 706-860-2701 |
| Fax | 7068606484 |
| Phone | +1 256-469-7895 |
| Fax | 2562708937 |
Authorized person
| Name | DR. TIMOTHY KILLEN ADAMS JR. |
| Role | PRESIDENT |
| Phone | 2564697895 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 367H00000X - Anesthesiologist Assistant |
| State | AL |
| Is Primary | No |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7MMB1 | Obsolete | Non-Manufacturer | 2016-05-25 | 2024-07-03 | 2024-07-02 | No data | |||||||||||||||
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| POC | BRIAN MOORE |
| Phone | +1 678-567-6481 |
| Fax | +1 256-270-8937 |
| Address | 3719 DAUPHIN ST, MOBILE, AL, 36608 1753, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
