| Name: | Southcoast Medical Services LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Mar 2020 (5 years ago) (Companies founded in March 2020) |
| Entity Number: | 000-626-239 |
| Register Number: | 000626239 |
| ZIP code: | 36549 (Companies in Baldwin, 36549) |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Registered Office Mailing Address: | P O BOX 1016LILLIAN, AL 36549 |
| Registered Office Street Address: | 34463 HWY 98 SUITE GLILLIAN, AL 36549 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497354617 | 2020-10-19 | 2020-10-30 | 7094 FOREST MILL DR, COTTONDALE, AL, 354531446, US | 34463 US HIGHWAY 98 STE G, LILLIAN, AL, 365494049, US | |||||||||||||||||
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| Phone | +1 205-292-2428 |
| Fax | 2054623703 |
| Phone | +1 251-961-0874 |
Authorized person
| Name | MICHELLE HAWTHORNE |
| Role | CREDENTIALING AND BILLING MANAGER |
| Phone | 2052922428 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Spriggs, Daniel H | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
