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Huntsville Heart Specialists, LLC

Details

Name: Huntsville Heart Specialists, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 18 Jul 2017 (7 years ago)
Entity Number: 000-397-356
Register Number: 000397356
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 4624 PANORAMA DRIVEHUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356865216 2017-08-01 2017-08-01 101 BOB WALLACE AVE SW, HUNTSVILLE, AL, 358013847, US 101 BOB WALLACE AVE SW, HUNTSVILLE, AL, 358013847, US

Contacts

Phone +1 256-532-1888

Authorized person

Name CHARLES RANDALL BURNS
Role MD/OWNER
Phone 2565201841

Taxonomy

Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
Is Primary Yes

Agent

Name Role
BURNS, C R Agent

Organizer

Name Role Address
JONES, D ASHLEY Organizer 100 WASHINGTON STREET STE 100HUNTSVILLE, AL 35801

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State