| Name: | FAIRHOPE GASTROENTEROLOGY, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Series Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 Sep 2019 (5 years ago) |
| Entity Number: | 000-588-272 |
| Register Number: | 000588272 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Registered Office Street Address: | 3 MEDICAL PARK DRIVEFAIRHOPE, AL 36532 |
| Registered Office Street Address ZIP Code: | 36532 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578106621 | 2019-10-22 | 2024-01-08 | 3 MEDICAL PARK DRIVE, FAIRHOPE, AL, 365321804, US | 3 MEDICAL PARK, FAIRHOPE, AL, 365321804, US | |||||||||||||||
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| Phone | +1 251-928-8804 |
| Fax | 2519909379 |
Authorized person
| Name | CHRISTOPHER W IVES |
| Role | MANAGING PARTNER/OWNER |
| Phone | 2519288804 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| IVES, CHRISTOPHER W | Agent | 3 MEDICAL PARK DRIVEFAIRHOPE, AL 36532 |
| Name | Role | Address |
|---|---|---|
| IVES, CHRISTOPHER W | Organizer | 3 MEDICAL PARK DRIVEFAIRHOPE, AL 36532 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
