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Valley Area ENT Clinic, LLC

Details

Name: Valley Area ENT Clinic, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 03 Mar 2015 (10 years ago)
Date of dissolution: 03 Jan 2019
Entity Number: 000-329-990
Register Number: 000329990
County: Lee
Place of Formation: Lee County
Registered Office Street Address: 2000 PEPPERELL PARKWAYOPELIKA, AL 36801
Registered Office Street Address ZIP Code: 36801

Activities NOT PROVIDED

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811383979 2015-04-15 2016-08-18 11 MEDICAL PARK, VALLEY, AL, 368543665, US 11 MEDICAL PARK, VALLEY, AL, 368543665, US

Contacts

Phone +1 334-756-2189
Fax 3347562139

Authorized person

Name MR. SAMUEL A PRICE JR.
Role CFO
Phone 3345281310

Taxonomy

Taxonomy Code 207Y00000X - Otolaryngology Physician
Is Primary Yes

Agent

Name Role
THE EAST ALABAMA HEALTH CARE AUTHOR Agent

Organizer

Name Role Address
THE EAST ALABAMA HEALTH CARE AUTHORITY Organizer 2000 PEPPERELL PARKWAYOPELIKA, AL 36801

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State