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Southern Specialty Physicians LLC

Details

Name: Southern Specialty Physicians LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 27 Jan 2020 (5 years ago) (Companies founded in January 2020)
Entity Number: 000-599-744
Register Number: 000599744
ZIP code: 36116 (Companies in Montgomery, 36116)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 8536 TWIN GABLES DRMONTGOMERY, AL 36116

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669007795 2020-03-09 2021-09-22 7085 SYDNEY CURV, MONTGOMERY, AL, 361173509, US 7085 SYDNEY CURV, MONTGOMERY, AL, 361173509, US

Contacts

Phone +1 334-246-4774
Fax 8339632439

Authorized person

Name BRIAN LEE SELLERS
Role MEMBER
Phone 3342464774

Taxonomy

Taxonomy Code 2086S0129X - Vascular Surgery Physician
Is Primary Yes

Agent

Name Role
SELLERS, BRIAN L Agent

Organizer

Name Role Address
ROBY, RILEY W Organizer 105 TALLAPOOSA STREET, SUITE 200MONTGOMERY, AL 36104-7821

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State