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4MD2 -In-Patient Physician Services of Decatur, L.L.C.

Details

Name: 4MD2 -In-Patient Physician Services of Decatur, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 03 Aug 2006 (18 years ago)
Entity Number: 000-482-543
Register Number: 000482543
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 2090 COLUMBIANA RD STE 2000BIRMINGHAM, AL 35216
Registered Office Street Address ZIP Code: 35216

Activities MEDICAL BILLING & RELATED SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134273345 2007-01-23 2020-08-22 1028 HIGHLAND LAKES TRCE, BIRMINGHAM, AL, 352426877, US 1201 7TH ST SE, DECATUR, AL, 356013337, US

Contacts

Phone +1 205-999-6209
Fax 2054081719
Phone +1 256-341-2909
Fax 2563010053

Authorized person

Name MR. GUY DUWANE HOOPER
Role PRESIDENT
Phone 2059996209

Taxonomy

Taxonomy Code 171W00000X - Contractor
Is Primary Yes

Agent

Name Role Address
HASTY, WILLIAM D JR Agent 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216

Member

Name Role
4MD2 INC Member

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State