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LITTLE RIVER EMERGENCY PHYSICIANS, PLLC

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Company Details

Name: LITTLE RIVER EMERGENCY PHYSICIANS, PLLC
Legal type: Foreign Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 24 Apr 2013 (12 years ago)
Authority Date: 24 Apr 2013 (12 years ago)
Last Annual Report: 16 May 2023 (2 years ago)
Organization Number: 0855945
Principal Office: 5121 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027
Place of Formation: TENNESSEE

Member

Name Role
Tony Briningstool Member

Registered Agent

Name Role
KY SECRETARY OF STATE Registered Agent

National Provider Identifier

NPI Number:
1609146554

Authorized Person:

Name:
CHARLES SOMERBY
Role:
VP OF OPERATIONS
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2053135245

Filings

Name File Date
Revocation of Certificate of Authority 2024-10-12
Annual Report 2023-05-16
Annual Report 2022-06-09
Annual Report 2021-06-01
Annual Report 2020-05-28

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Sources: Kentucky Secretary of State