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Relias Emergency Medicine Specialists of Fayette, LLC

Details

Name: Relias Emergency Medicine Specialists of Fayette, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 14 Jun 2018 (6 years ago)
Entity Number: 000-521-657
Register Number: 000521657
County: Montgomery
Place of Formation: Mississippi
Registered Office Street Address: 2 North Jackson Street, Suite 605Montgomery, AL 36104
Registered Office Street Address ZIP Code: 36104
Principal Address: 201 W. Main Street, Suite 200Tupelo, MS 38804
Principal Mailing Address: P.O. Box 7058Tupelo, MS 38802

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093201543 2018-07-09 2020-07-17 PO BOX 31485, CHARLOTTE, NC, 282311485, US 1653 TEMPLE AVE N, FAYETTE, AL, 355551314, US

Contacts

Phone +1 662-432-4106

Authorized person

Name LUKE H WEST
Role CEO
Phone 6626358383

Taxonomy

Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary Yes

Agent

Name Role
C T Corporation System Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State