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Williams Station Emergency Physicians, LLC

Details

Name: Williams Station Emergency Physicians, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 21 Oct 2016 (8 years ago) (Companies founded in October 2016)
Entity Number: 000-374-781
Register Number: 000374781
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447702188 2016-10-28 2023-03-22 13737 NOEL RD, 1600, DALLAS, TX, 752401331, US 401 MEDICAL PARK DR, ATMORE, AL, 365023006, US

Contacts

Phone +1 973-251-1132

Authorized person

Name KAREN VAUGHN
Role OFFICCER
Phone 9732511132

Taxonomy

Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary Yes

Agent

Name Role Address
CORPORATION SERVICE COMPANY INC Agent 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808

Organizer

Name Role
WILSON, CRAIG A SR Organizer

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State