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Nurse Anesthesia of Alabama, LLC

Details

Name: Nurse Anesthesia of Alabama, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 03 Oct 2011 (13 years ago)
Date of dissolution: 21 Nov 2023
Entity Number: 000-022-297
Register Number: 000022297
ZIP code: 36104
County: Montgomery
Place of Formation: Montgomery County
Principal Address: 4194 MENDENHALL OAKS PKWY STE 160HIGH POINT, NC 27265
Principal Mailing Address: PO BOX 6633HIGH POINT, NC 27262
Registered Office Street Address: 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104

Activities ANY LAWFUL BUSINESS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639454580 2011-10-11 2011-10-11 PO BOX 222, LANDISVILLE, PA, 175380222, US 1515 6TH AVE S, BIRMINGHAM, AL, 352331601, US

Contacts

Phone +1 205-930-3612

Authorized person

Name ALAN DALE HILLIARD
Role CFO
Phone 3368841830

Taxonomy

Taxonomy Code 363A00000X - Physician Assistant
Is Primary No
Taxonomy Code 367500000X - Certified Registered Nurse Anesthetist
Is Primary Yes
Taxonomy Code 367H00000X - Anesthesiologist Assistant
Is Primary No

Agent

Name Role
CORPORATION SERVICE COMPANY INC. Agent

Organizer

Name Role Address
KINNEY, GAIL E Organizer 1600 PARKWOOD CIRCLE STE 400ATLANTA, GA 30339

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State