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Greater Montgomery Patient Centered Gastroenterology and Hepatology LLC

Details

Name: Greater Montgomery Patient Centered Gastroenterology and Hepatology LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 29 Oct 2014 (10 years ago)
Entity Number: 000-321-198
Register Number: 000321198
County: Montgomery
Place of Formation: Montgomery County
Principal Mailing Address: 7424 Wynlakes BlvdMONTGOMERY, AL 36117
Principal Mailing Address ZIP Code: 36117
Registered Office Street Address: 701 TAYLOR OAKS CIRC APT 303MONTGOMERY, AL 36116
Registered Office Street Address ZIP Code: 36116
Principal Address: 2415 Central ParkwayMontgomery, AL 36106
Principal Address ZIP Code: 36106

Activities PHYSICIAN PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285030080 2014-11-06 2019-07-03 1898 MULBERRY ST, MONTGOMERY, AL, 361061526, US 1722 PINE ST, SUITE 801, MONTGOMERY, AL, 361061103, US

Contacts

Phone +1 334-239-7059
Fax 3342397841
Phone +1 334-293-8000
Fax 3345320108

Authorized person

Name DR. VIPLOVE SENADHI
Role CEO
Phone 2157400034

Taxonomy

Taxonomy Code 207RG0100X - Gastroenterology Physician
Is Primary Yes
Taxonomy Code 207RI0008X - Hepatology Physician
License Number DO.1453
State AL
Is Primary No

Organizer

Name Role Address
CORPORATION SERVICE COMPANY Organizer 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104

Agent

Name Role Address
SENADHI, VIPLOVE Agent APT 303 771 TAYLOR OAKS CIRCLEMONTGOMERY, AL 36116

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State