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Urogynecology of East Alabama, LLC

Details

Name: Urogynecology of East Alabama, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 17 Jun 2024 (5 months ago) (Companies founded in June 2024)
Entity Number: 001-141-046
Register Number: 001141046
ZIP code: 36801 (Companies in Lee, 36801)
County: Lee
Place of Formation: Alabama
Registered Office Street Address: 2000 Pepperell ParkwayOpelika, AL 36801

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477399111 2024-07-02 2024-07-10 890 N DEAN RD STE 300, AUBURN, AL, 368309452, US 890 N DEAN RD STE 300, AUBURN, AL, 368309452, US

Contacts

Phone +1 334-528-5970
Fax 3345285971

Authorized person

Name SAMUEL A PRICE JR.
Role CFO
Phone 3345281310

Taxonomy

Taxonomy Code 207VF0040X - Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Is Primary Yes

Agent

Name Role
The East Alabama Health Care Authority Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State