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Limestone Surgical Associates, P.C.

Details

Name: Limestone Surgical Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 31 Dec 1979 (45 years ago)
Date of dissolution: 17 Mar 2015
Entity Number: 000-060-237
Register Number: 000060237
Place of Formation: Limestone County
Principal Address: ATHENS, AL
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134288467 2006-12-06 2020-08-22 102 SANDERS STREET, ATHENS, AL, 356112814, US 102 SANDERS ST, ATHENS, AL, 356112418, US

Contacts

Phone +1 256-232-2275
Fax 2562324401

Authorized person

Name DR. PRABHAKARA BABU RAVI
Role SURGEON
Phone 2562322275

Taxonomy

Taxonomy Code 208600000X - Surgery Physician
License Number 8230
State AL
Is Primary Yes

Incorporator

Name Role
LEGGE, WINSTON V JR Incorporator
RAVI, LAKSHMI K Incorporator
RAVI, P B Incorporator

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State