| Name: | Selma Medical Weight Loss & Spa LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 16 Jul 2012 (12 years ago) |
| Date of dissolution: | 18 Sep 2018 |
| Entity Number: | 000-039-653 |
| Register Number: | 000039653 |
| County: | Dallas |
| Place of Formation: | Dallas County |
| Principal Address: | 4 OFFICE PARK CIRCLESELMA, AL 36701 |
| Principal Address ZIP Code: | 36701 |
Activities
MEDICAL WEIGHT LOSS
SPA SERVICES
PERSONAL BEAUTY PRODUCTS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508306242 | 2017-02-28 | 2017-02-28 | 4 OFFICE PARK CIR, SELMA, AL, 367016538, US | 4 OFFICE PARK CIR, SELMA, AL, 367016538, US | |||||||||||||||||||
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| Phone | +1 334-872-7575 |
| Fax | 3348727574 |
Authorized person
| Name | DR. SAI NAMBURU |
| Role | PARTNER/MEDICAL DOCTOR |
| Phone | 3348727575 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | MD26752 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOONE NAMBURU, SARAH TAYLOR | Organizer | 116 CROWN RIDGE DRIVESELMA, AL 36701 |
| NAMBURU, SAI S | Organizer | 9540 WYNLAKES PLACEMONTGOMERY, AL 36117 |
| Name | Role |
|---|---|
| VADLAMUDI, E V | Agent |
| Name | Role | Address |
|---|---|---|
| BOONE NAMBURU, SARAH T | Member | 116 CROWN RIDGE DRIVESELMA, AL 36701 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
