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Premier Medical Housecall, LLC

Details

Name: Premier Medical Housecall, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 30 Jun 2017 (7 years ago) (Companies founded in June 2017)
Entity Number: 000-395-821
Register Number: 000395821
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Shelby County
Principal Address: 400 Interstate North Parkway SEAtlanta, GA 30339
Registered Office Street Address: 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487170031 2017-08-16 2022-09-06 400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA, 303395047, US 165 CAHABA VALLEY PKWY, PELHAM, AL, 351241144, US

Contacts

Phone +1 470-464-8000
Phone +1 205-470-6934

Authorized person

Name DAVID AFSHAR
Role CFO
Phone 4704648000

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
State AL
Is Primary Yes

Agent

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

Organizer

Name Role Address
AVERITT, AUSTIN A Organizer 1 FED PL STE 1000, 1819 5TH AVE NBIRMINGHAM, AL 35203

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State