| Name: | Covenant Anesthesia, PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 22 Dec 2014 (10 years ago) |
| Entity Number: | 000-324-862 |
| Register Number: | 000324862 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 648 PARK AVENUEMONTGOMERY, AL 36106 |
| Registered Office Street Address ZIP Code: | 36106 |
| Authorized Capital: | 1000 @ $1.00PV |
Activities
NURSE ANESTHESIA & TO RENDER MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780040592 | 2016-01-08 | 2016-01-26 | 2000 STONEGATE TRL STE 112, BIRMINGHAM, AL, 352422237, US | 2000 STONEGATE TRL STE 112, BIRMINGHAM, AL, 352422237, US | |||||||||||||||
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| Phone | +1 205-979-5882 |
| Fax | 2059791248 |
Authorized person
| Name | BRIAN K MCNIEL |
| Role | PRESIDENT |
| Phone | 2053174622 |
Taxonomy
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| KELLER, D L | Agent |
| Name | Role | Address |
|---|---|---|
| MCNIEL, MELANIE | Director | 1300 ROUND HILL ROADBIRMINGHAM, AL 35216 |
| KELLER, D LAND | Director | 648 PARK AVENUEMONTGOMERY, AL 36106 |
| Name | Role | Address |
|---|---|---|
| MCBRIDE, RICHARD L JR | Incorporator | 1784 TALIAFERRO TRAIL STE BMONTGOMERY, AL 36117 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
