| Name: | 4MD2 - Physician Services of Birmingham, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 04 May 2007 (18 years ago) |
| Entity Number: | 000-494-127 |
| Register Number: | 000494127 |
| 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 SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871790683 | 2007-06-27 | 2020-08-22 | 1028 HIGHLAND LAKES TRACE, BIRMINGHAM, AL, 35242, US | COOPER GREEN HOSPITAL EMERGENCY ROOM, 1515 6TH AVE, BIRMINGHAM, AL, 35233, US | |||||||||||||||||
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| Phone | +1 205-999-6209 |
| Fax | 2059956317 |
| Phone | +1 205-995-0422 |
Authorized person
| Name | GUY DUWANE HOOPER |
| Role | PRESIDENT |
| Phone | 2059996209 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| 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
