| 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 |
| 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 | |||||||||||||
|
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| 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 |
| Name | Role |
|---|---|
| Hatchett, Krystal | Agent |
| 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
