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Tennessee Valley Neurological Associates, P.C.

Details

Name: Tennessee Valley Neurological Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 02 May 2017 (8 years ago)
Entity Number: 000-390-385
Register Number: 000390385
County: Madison
Place of Formation: Madison County
Principal Address: 201 SIVLEY ROAD SUITE 540HUNTSVILLE, AL 35801
Principal Address ZIP Code: 35801
Authorized Capital: 1,000 @ $.01/PV

Activities MEDICAL PRACTICE;ANY LAWFUL BUSINESS/ACT/ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538696802 2017-05-17 2022-07-21 201 SIVLEY RD SW STE 540, HUNTSVILLE, AL, 358015138, US 201 SIVLEY RD SW STE 540, HUNTSVILLE, AL, 358015138, US

Contacts

Phone +1 256-265-2695
Fax 2562656386

Authorized person

Name DR. THEODROS MENGESHA
Role MEDICAL DOCTOR
Phone 2562652695

Taxonomy

Taxonomy Code 174400000X - Specialist
Is Primary Yes

Agent

Name Role Address
MENGESHA, THEODROS Agent 201 SIVLEY ROAD SUITE 540HUNTSVILLE, AL 35801

Director

Name Role Address
MENGESHA, THEODROS Director 201 SIVLEY ROAD SUITE 540HUNTSVILLE, AL 35801

Incorporator

Name Role Address
BURNEY, L JUSTIN Incorporator 655 GALLATIN STHUNTSVILLE, AL 35801

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State