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Graham L. Howorth, M.D., P.C.

Details

Name: Graham L. Howorth, M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 30 Jun 1989 (35 years ago) (Companies founded in June 1989)
Entity Number: 000-131-961
Register Number: 000131961
Place of Formation: Talladega County
Principal Address: SYLACAUGA, AL
Registered Office Street Address: 122 ANNISTON AVENUESYLACAUGA, AL
Authorized Capital: $100

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013198985 2007-11-20 2007-11-20 1120 AIRPORT DR STE 101, ALEXANDER CITY, AL, 350103444, US 1120 AIRPORT DR STE 101, ALEXANDER CITY, AL, 350103444, US

Contacts

Phone +1 256-234-0989
Fax 2562343114

Authorized person

Name MR. GRAHAM L. HOWORTH JR.
Role PRESIDENT
Phone 2562340989

Taxonomy

Taxonomy Code 207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician
License Number 00011454
State AL
Is Primary Yes

Agent

Name Role
HOWORTH, GRAHAM LEE Agent

Incorporator

Name Role
HOWORTH, GRAHAM LEE MD Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State