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
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
HASTY, WILLIAM D JR | Agent | 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216 |
Name | Role |
---|---|
4MD2 INC | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State