| Name: | Cullman Regional Medical Group Hospitalists, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Feb 2020 (5 years ago) |
| Entity Number: | 000-623-300 |
| Register Number: | 000623300 |
| County: | Cullman |
| Place of Formation: | Cullman County |
| Registered Office Street Address: | 1912 AL HWY 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 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023642568 | 2020-02-24 | 2022-09-23 | PO BOX 2895, CULLMAN, AL, 350562895, US | 1912 AL HIGHWAY 157, CULLMAN, AL, 350580609, US | |||||||||||||
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| Phone | +1 256-735-5071 |
Authorized person
| Name | NESHA DONALDSON |
| Role | COO |
| Phone | 2567372585 |
Taxonomy
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| HICKS, CHARLOTTE | Agent |
| Name | Role | Address |
|---|---|---|
| TROTTER, ZACHARY | Organizer | 1901 SIXTH AVE N STE 1400BIRMINGHAM, AL 35203 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
