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Urology Associates of East Alabama, LLC

Details

Name: Urology Associates of East Alabama, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 17 Apr 2020 (5 years ago)
Entity Number: 000-628-207
Register Number: 000628207
County: Lee
Place of Formation: Lee County
Registered Office Street Address: 2000 PEPPERELL PARKWAYOPELIKA, AL 36801
Registered Office Street Address ZIP Code: 36801

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831717867 2020-07-07 2020-07-07 121 N 20TH ST STE 19, OPELIKA, AL, 368015456, US 121 N 20TH ST STE 19, OPELIKA, AL, 368015456, US

Contacts

Phone +1 334-749-8146
Fax 3347498155

Authorized person

Name SAMUEL A PRICE JR.
Role CFO
Phone 3345281310

Taxonomy

Taxonomy Code 208800000X - Urology Physician
Is Primary Yes

Organizer

Name Role Address
POOL, JAMES M Organizer 1901 SIXTH AVENUE NORTH/2400 REGIONSBIRMINGHAM, AL 35203-2618

Agent

Name Role
EAST ALABAMA MEDICAL DEVELOPMENT AS. Agent

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State