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Thomasville Regional Medical Associates, LLC

Details

Name: Thomasville Regional Medical Associates, LLC
Jurisdiction: Alabama
Legal type: Domestic Series Limited Liability Company
Status: Exists
Date of registration: 12 Feb 2020 (5 years ago)
Entity Number: 000-623-160
Register Number: 000623160
County: Shelby
Place of Formation: Shelby County
Registered Office Street Address: 1200 CORPORATE DRIVE STE 470BIRMINGHAM, AL 35242
Registered Office Street Address ZIP Code: 35242

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972231314 2022-08-12 2022-08-12 300 MED PARK DRIVE, MOB SUITE D, THOMASVILLE, AL, 367845760, US 300 MED PARK DRIVE, MOB SUITE D, THOMASVILLE, AL, 367845760, US

Contacts

Phone +1 334-636-2525

Authorized person

Name BREANNA BRICKNER
Role CONTROLLER
Phone 2059032392

Taxonomy

Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary Yes

Agent

Name Role Address
JAMES, CURTIS Agent 1200 CORPORATE DRIVE STE 470BIRMINGHAM, AL 35242

Organizer

Name Role Address
JAMES, CURTIS Organizer 1200 CORPORATE DRIVE STE 470BIRMINGHAM, AL 35242

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State