| Name: | Cullman Regional Pain Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 04 Mar 2019 (6 years ago) |
| Entity Number: | 000-545-243 |
| Register Number: | 000545243 |
| County: | Cullman |
| Place of Formation: | Cullman County |
| Registered Office Street Address: | 1912 AL HIGHWAY 157 POB 1 STE 200CULLMAN, AL 35058 |
| Registered Office Street Address ZIP Code: | 35058 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326507013 | 2019-03-13 | 2024-05-21 | P.O. BOX 1108, CULLMAN, AL, 350561108, US | 1912 AL HWY 157, CULLMAN, AL, 350580609, US | |||||||||||||||||||||||
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| Phone | +1 256-735-5041 |
| Fax | 2567355003 |
| Phone | +1 256-737-2235 |
| Fax | 2567372227 |
Authorized person
| Name | MRS. NESHA DONALDSON |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 2567372598 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| Is Primary | No |
| Name | Role |
|---|---|
| HICKS, CHARLOTTE | Agent |
| Name | Role | Address |
|---|---|---|
| TROTTER, ZACHARY | Organizer | 1901 SIXTH AVE N STE 1400BIRMINGHAM, AL 35203 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
