| Name: | AFFINITY CARDIO-THORACIC SPECIALISTS, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 27 May 2016 (8 years ago) |
| Entity Number: | 000-363-628 |
| Register Number: | 000363628 |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 4000 MERIDIAN BLVDFRANKLIN, TN 37067 |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366895674 | 2016-07-21 | 2023-08-22 | PO BOX 689022, FRANKLIN, TN, 370689022, US | 2871 ACTON RD, SUITE 100, VESTAVIA, AL, 352432559, US | |||||||||||||||||
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| Fax | 6156286877 |
| Phone | +1 205-716-6900 |
| Fax | 2059390293 |
Authorized person
| Name | JENNIFER L JACKSON |
| Role | SR DIR PROV ENROLLMENT & ONBOARDING |
| Phone | 8778929815 |
Taxonomy
| Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
Date of last update: 04 Aug 2024
Sources: Alabama Secretary of State
