| Name: | St. Vincent's Internal Medicine Mayfair, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 21 Aug 2015 (9 years ago) (Companies founded in August 2015) |
| Entity Number: | 000-343-509 |
| Register Number: | 000343509 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962871178 | 2015-09-17 | 2017-09-07 | 50 MEDICAL PARK EAST DRIVE, BIRMINGHAM, AL, 352353401, US | 3106 INDEPENDENCE DRIVE, BIRMINGHAM, AL, 352094112, US | |||||||||||||||
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| Phone | +1 205-871-7007 |
| Fax | 2058719449 |
Authorized person
| Name | BRANDON WILLIAMS |
| Role | CFO |
| Phone | 2058383766 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
| Name | Role | Address |
|---|---|---|
| REILLY, JAMES C | Organizer | 1130 22ND ST S RIDGE PARK STE 4000BIRMINGHAM, AL 35205 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
