| Name: | Talladega Nephrology, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 Aug 2006 (18 years ago) (Companies founded in August 2006) |
| Entity Number: | 000-482-928 |
| Register Number: | 000482928 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Talladega County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 105 TALLAPOOSA ST STE 200MONTGOMERY, AL 36104 |
Activities
MEDICAL PRACTICE IN NEPHROLOGY & KIDNEY DISEASE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982800884 | 2007-06-26 | 2020-08-22 | 210 NORTH ST W, TALLADEGA, AL, 351602083, US | 210 NORTH ST W, TALLADEGA, AL, 351602083, US | |||||||||||||||||
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| Phone | +1 256-521-1996 |
Authorized person
| Name | ANDRE D FERIA |
| Role | OWNER |
| Phone | 2565211997 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| License Number | 21771 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROBY, RILEY W | Agent | 105 TALLAPOOSA STREET, SUITE 200MONTGOMERY, AL 36104-7821 |
| Name | Role |
|---|---|
| ANDREA FERIA MD PC | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
