| Name: | Andalusia Professional Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 01 Dec 2011 (13 years ago) |
| Entity Number: | 000-366-382 |
| Register Number: | 000366382 |
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 330 SEVEN SPRINGS WAYBENTWOOD, TN 37027 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET STE 605MONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649726001 | 2016-08-26 | 2016-08-26 | PO BOX 1720, ANDALUSIA, AL, 364201229, US | 849 S THREE NOTCH ST, ANDALUSIA, AL, 364205325, US | |||||||||||||||||||||||||||
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| Phone | +1 334-222-8466 |
| Fax | 3342221150 |
Authorized person
| Name | JESS JUDY |
| Role | PRESIDENT |
| Phone | 6159207000 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
