| Name: | ChiMed Rehab Phenix City, PLLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 Apr 2021 (4 years ago) |
| Entity Number: | 000-846-097 |
| Register Number: | 000846097 |
| County: | Lee |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 852 N Dean Rd, Suite 100Auburn, AL 36830 |
| Registered Office Street Address ZIP Code: | 36830 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962082677 | 2021-04-08 | 2022-06-14 | PO BOX 1601, PHENIX CITY, AL, 368681601, US | 3700 S RAILROAD ST STE D, PHENIX CITY, AL, 368672994, US | |||||||||||||||||||
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| Phone | +1 334-298-7700 |
| Fax | 8665371711 |
Authorized person
| Name | DR. STEPHEN B COOPER |
| Role | MANAGER |
| Phone | 3342987700 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Name | Role |
|---|---|
| Akridge & Balch P.C. | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
