| Name: | Relias Hospitalist Medicine Specialists of Fayette, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 02 Aug 2021 (3 years ago) |
| Entity Number: | 000-876-037 |
| Register Number: | 000876037 |
| County: | Montgomery |
| Place of Formation: | Mississippi |
| Principal Address: | 201 W. Main Street, Suite 200Tupelo, MS 38804 |
| Principal Mailing Address: | P.O. Box 7058Tupelo, MS 38802 |
| Registered Office Street Address: | 2 North Jackson Street, Suite 605Montgomery, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518640804 | 2023-08-11 | 2023-08-11 | PO BOX 7058, TUPELO, MS, 388027058, US | 1653 TEMPLE AVE N, FAYETTE, AL, 355551314, US | |||||||||||||||||
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| Phone | +1 662-432-4106 |
| Fax | 8337403625 |
| Phone | +1 205-932-5966 |
Authorized person
| Name | JAY HOWELL |
| Role | CHIEF REVENUE OFFICER |
| Phone | 6624324106 |
Taxonomy
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T Corporation System | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
