| Name: | Southern Alabama Physicians, LLP |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Registered Limited Liability Partnership |
| Status: | Exists |
| Date of registration: | 06 Aug 2012 (13 years ago) |
| Entity Number: | 000-266-256 |
| Register Number: | 000266256 |
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | Michigan |
| Principal Address: | 10850 E TRAVERSE HWY STE 4400TRAVERSE CITY, MI 49684 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Activities
MEDICAL PROFESSIONAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649696378 | 2014-03-05 | 2021-05-12 | 200 CORPORATE BLVD, LAFAYETTE, LA, 705083870, US | 400 N EDWARDS ST, ENTERPRISE, AL, 363302510, US | |||||||||||||||||||||||||
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| Phone | +1 800-893-9698 |
| Phone | +1 334-347-0584 |
Authorized person
| Name | DR. DAVID S SCHILLINGER |
| Role | LLP MANAGING PARTNER |
| Phone | 8008939698 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 157052 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
