Search icon

Southeastern Med Consultants LLC

Details

Name: Southeastern Med Consultants LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 21 Jun 2022 (2 years ago)
Entity Number: 001-026-225
Register Number: 001026225
County: Chilton
Place of Formation: Alabama
Registered Office Street Address: 436 Co Rd 622Thorsby, AL 35171
Registered Office Street Address ZIP Code: 35171
Registered Office Mailing Address: PO Box 146Thorsby, AL 35171
Registered Office Mailing Address ZIP Code: 35171

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528787702 2022-08-23 2022-08-23 PO BOX 298, SHANNON, AL, 351420298, US 436 COUNTY RD, THORSBY, AL, 35171, US

Contacts

Phone +1 256-655-2088

Authorized person

Name NYCOLE HAWKINS
Role CONSULTING MANAGER
Phone 2053172712

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role
Hatchett, Krystal Agent

Organizer

Name Role Address
Hatchett, Jeremy Organizer 436 Co Rd 622Thorsby, AL 35171
Rudemiller, Kyle Organizer 4232 Glasscott CrossingHoover, AL 35226
Taylor, Sarah Organizer 137 Woodmont DriveBirmingham, AL 35209

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State