| Name: | Physicians Emergency Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 26 Jan 2007 (18 years ago) |
| Date of dissolution: | 13 Aug 2015 |
| Entity Number: | 000-489-563 |
| Register Number: | 000489563 |
| County: | Shelby |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 812 ABERLADY PLACEBIRMINGHAM, AL 35242 |
| Registered Office Street Address ZIP Code: | 35242 |
Activities
EMERGENCY PHYSICIANS' MANAGEMENT
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225249790 | 2007-05-25 | 2018-06-21 | 1200 CORPORATE DR, SUITE 230, BIRMINGHAM, AL, 352422941, US | 1600 CARRAWAY BLVD, BIRMINGHAM, AL, 352341913, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 205-995-7980 |
| Fax | 2059957985 |
| Phone | +1 205-502-6212 |
Authorized person
| Name | MS. CLARICE D KENNEDY |
| Role | PROVIDER ENROLLMENT SPECIALIST |
| Phone | 2059957980 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILLIAMSON, DAVID | Agent | 107 DUCK CVELMORE, AL 36025 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
