| Name: | Everly Provider Group DE, P.A. |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 23 Jan 2024 (a year ago) |
| Identification Number: | 001768334 |
| Place of Formation: | DELAWARE |
| Principal Address: | 823 CONGRESS AVE. SUITE 1200, AUSTIN, TX, 78701, USA |
| Purpose: | PROFESSIONAL MEDICAL SERVICES |
| Name | Role | Address |
|---|---|---|
| COGENCY GLOBAL INC. | Agent | 222 JEFFERSON BOULEVARD, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| BRANTLEY TILMAN JOLLY M.D. | PRESIDENT | 823 CONGRESS AVE., SUITE 1200 AUSTIN, TX 78701 USA |
| Name | Role | Address |
|---|---|---|
| BRANTLEY TILMAN JOLLY M.D. | TREASURER | 823 CONGRESS AVE., SUITE 1200 AUSTIN, TX 78701 USA |
| Name | Role | Address |
|---|---|---|
| BRANTLEY TILMAN JOLLY M.D. | SECRETARY | 823 CONGRESS AVE., SUITE 1200 AUSTIN, TX 78701 USA |
| Name | Role | Address |
|---|---|---|
| BRANTLEY TILMAN JOLLY M.D. | DIRECTOR | 823 CONGRESS AVE., SUITE 1200 AUSTIN, TX 78701 USA |
| Number | Name | File Date |
|---|---|---|
| 202444578020 | Application for Certificate of Authority | 2024-01-23 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State
