| Name: | Blount Emergency Physicians, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 19 Sep 2008 (16 years ago) (Companies founded in September 2008) |
| Date of dissolution: | 02 Aug 2022 |
| Entity Number: | 000-425-295 |
| Register Number: | 000425295 |
| ZIP code: | 35244 (Companies in Jefferson, 35244) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 772 HEATHERWOOD DRIVEBIRMINGHAM, AL 35244 |
Activities
PROFESSIONAL MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427293950 | 2008-12-12 | 2008-12-12 | PO BOX 2391, MSC # 416, BIRMINGHAM, AL, 352012391, US | 150 GILBREATH DR, ONEONTA, AL, 351212827, US | |||||||||||||||
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| Phone | +1 205-274-3000 |
| Fax | 2053135245 |
Authorized person
| Name | BRYAN L BALENTINE |
| Role | PRESIDENT |
| Phone | 2052743000 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BALENTINE, BRYAN MD | Agent |
| Name | Role | Address |
|---|---|---|
| BALENTINE, BRYAN | Member | 772 HEATHERWOOD DRIVEBIRMINGHAM, AL 35244 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
