| Name: | North Alabama Rehabilitation and Pain Specialist LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 Sep 2011 (13 years ago) |
| Entity Number: | 000-026-176 |
| Register Number: | 000026176 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | 21 CYPRESS GROVE LANEHUNTSVILLE, AL 35824 |
| Principal Address ZIP Code: | 35824 |
Activities
SPEICALIZED HEALTHCARE FOR DEGENERATIVE & DEBILITATING DISORDERS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477839769 | 2011-10-31 | 2011-11-01 | 2046 BELTLINE RD SW, DECATUR, AL, 356015549, US | 2046 BELTLINE RD SW, DECATUR, AL, 356015549, US | |||||||||||||||||||
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| Phone | +1 256-353-0410 |
| Fax | 2563530649 |
Authorized person
| Name | DR. MARK OLUSEGUN AWONIYI |
| Role | ORGANIZER |
| Phone | 2566040671 |
Taxonomy
| Taxonomy Code | 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | 30296 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AWONIYI, MARK | Agent | 2046 BELTLINE RDDECATUR, AL 35601 |
| Name | Role | Address |
|---|---|---|
| AWONIYI, CHANTEL | Organizer | 21 CYPRESS GROVE LANEHUNTSVILLE, AL 35824 |
| AWONIYI, MARK | Organizer | 2046 BELTLINE RDDECATUR, AL 35601 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
