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Premier OrthoSports Inc

Details

Name: Premier OrthoSports Inc
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 29 Jul 2011 (13 years ago)
Entity Number: 000-021-176
Register Number: 000021176
County: Marion
Place of Formation: Marion County
Registered Office Mailing Address: 118 LINEAGE LANEFLOWOOD, MS 39232
Registered Office Street Address: 1860 US HWY 43WINFIELD, AL 35594
Registered Office Street Address ZIP Code: 35594
Authorized Capital: 25,000 @ $.01PV
Paid Share Capital: $10.00

Activities ANY AND ALL LAWFUL BUSINESS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679857106 2011-10-03 2011-10-03 1860 US HIGHWAY 43, WINFIELD, AL, 355945062, US 15243 GREENFIELD DR, ATHENS, AL, 356132899, US

Contacts

Phone +1 202-487-1111
Fax 2054871114
Phone +1 256-233-2332
Fax 2562163579

Authorized person

Name DR. WILLIAM DAVID LAWRENCE
Role PRESIDENT
Phone 2562332332

Taxonomy

Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
License Number DO1220
State AL
Is Primary Yes

Director

Name Role Address
LAWRENCE, WILLIAM DAVID Director 14128 MUIRFIELD DRIVEATHENS, AL 35613

Incorporator

Name Role
LAWRENCE, WILLIAM D Incorporator

Agent

Name Role
LAWRENCE, WILLIAM D Agent

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State