| Name: | Coosa Valley Surgical Associates, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 30 Nov 1999 (25 years ago) (Companies founded in November 1999) |
| Entity Number: | 000-667-361 |
| Register Number: | 000667361 |
| ZIP code: | 35150 (Companies in Talladega, 35150) |
| County: | Talladega |
| Place of Formation: | Talladega County |
| Principal Address: | SYLACAUGA, AL |
| Registered Office Street Address: | 209 WEST HICKORY STE 300SYLACAUGA, AL 35150 |
Activities
PRACTICE MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346352002 | 2006-08-31 | 2020-08-22 | 209 W SPRING ST STE 300, SYLACAUGA, AL, 351502976, US | 209 W SPRING ST STE 300, SYLACAUGA, AL, 351502976, US | |||||||||||||||
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| Phone | +1 256-245-8100 |
| Fax | 2059860081 |
Authorized person
| Name | JAMES L CROOK |
| Role | PROVIDER/OWNER |
| Phone | 2562458100 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CROOK, JAMES L | Agent |
| Name | Role |
|---|---|
| CROOK, JAMES L | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
