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National Provider Credentialing Service, Inc.

Company ID F00000001998 Status Inactive
National Provider Credentialing Service, Inc. was incorporated as a Foreign For-profit Corporation on April 6, 2000, with its office address at 3025 Breckinridge Blvd Duluth, GA 30096. It is registered with the Virginia State Corporation Commission and is authorized to conduct business in Florida. C T Corporation System serves as the registered agent. The company's leadership includes Grimes, Darrell O, Allen, Marilyn Jesq and Hammett, Marc D and three others. The company is currently inactive. The entity ceased operations on October 4, 2002, after being in business for 2 years, 5 months and 28 days.
Contact
Mail Address
3025 Breckinridge Blvd Duluth, GA 30096
Email
Unreported
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Basic Information

Updated: 2025-07-24
Company Name
National Provider Credentialing Service, Inc.
Company ID
F00000001998
Date of Registration
2000-04-06
FEI/EIN Number
54-1777843
State
Virginia
Type
Foreign Profit Corporation
Office Address
3025 Breckinridge Blvd Duluth, GA 30096
Last Event
REVOKED FOR ANNUAL REPORT
Date of Dissolution
2002-10-04
Status
Inactive

Agent Information

Agent Name: C T Corporation System
Address: 1200 South Pine Island Road Plantation, FL 33324

Governing Persons

Grimes, Darrell O
Title:
President
Address: 3025 Breckinridge Blvd. Duluth, GA 30096
Allen, Marilyn Jesq
Title:
Secretary
Address: 3525 Piedmont Rd., Bldg 8., Ste 600 Atlanta, GA 30305
Hammett, Marc D
Title:
Treasurer
Address: 3525 Piedmont Rd., Bldg 8., Ste 600 Atlanta, GA 30305
Vandiver, Roy Wmd
Title:
Chairman
Address: 3525 Piedmont Rd., Bldg 8., Ste 600 Atlanta, GA 30305
Collins, William Cm.d.
Title:
Director
Address: 6000 Winterthur Dr., Nw Atlanta, GA 30328
Deloach, E. Daniel M.d.
Title:
Director
Address: 4750 Waters Ave., Suite 500 Savannah, GA 31404

Latest Activity & Filing History

Latest Activity
timeline icon
ANNUAL REPORT
2001-07-24
timeline icon
Foreign Profit
2000-04-06

Documents

Filling Date
2001-07-24
Download
Description
ANNUAL REPORT
Filling Date
2000-04-06
Download
Description
Foreign Profit

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