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Russell Oncology JV Physicians Services, LLC

Details

Name: Russell Oncology JV Physicians Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 09 Nov 2017 (7 years ago)
Entity Number: 000-407-781
Register Number: 000407781
County: Tallapoosa
Place of Formation: Tallapoosa County
Registered Office Street Address: 3316 HIGHWAY 280ALEXANDER CITY, AL 35010
Registered Office Street Address ZIP Code: 35010

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831604156 2017-12-08 2017-12-08 PO BOX 939, ALEXANDER CITY, AL, 350110939, US 3316 HIGHWAY 280, ALEXANDER CITY, AL, 350103369, US

Contacts

Phone +1 256-329-7100
Phone +1 256-329-7888

Authorized person

Name MR. LOTHER E. PEACE III
Role PRESIDENT/CEO
Phone 2563297100

Taxonomy

Taxonomy Code 2085R0001X - Radiation Oncology Physician
Is Primary Yes

Agent

Name Role
PEACE, LOTHER E III Agent

Organizer

Name Role Address
TROTTER, ZACHARY D. Organizer 1901 6TH AVE. NORTH, STE 1400BIRMINGHAM, AL 35203

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State