Name: | Southern Pain Control Center, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Dissolved |
Date of registration: | 02 Nov 1998 (26 years ago) (Companies founded in November 1998) |
Date of dissolution: | 19 Mar 2021 |
Entity Number: | 000-199-289 |
Register Number: | 000199289 |
ZIP code: | 36117 (Companies in Montgomery, 36117) |
County: | Montgomery |
Place of Formation: | Montgomery County |
Principal Address: | MONTGOMERY, AL |
Registered Office Street Address: | 7205 COPPERFIELD DRIVEMONTGOMERY, AL 36117 |
Registered Office Mailing Address: | 8137 MOSSY OAK DRIVEMONTGOMERY, AL 36117 |
Authorized Capital: | $10,000 |
Activities
MEDICATION & PHYSICAL THERAPY/TREATMENT
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1104976695 | 2007-01-10 | 2013-03-14 | 7205 COPPERFIELD DR, MONTGOMERY, AL, 361177101, US | 7205 COPPERFIELD DR, MONTGOMERY, AL, 361177101, US | |||||||||||||||||||
|
Phone | +1 334-396-6055 |
Fax | 3342730952 |
Authorized person
Name | DR. MEDHA A PRADHAN |
Role | PRESIDENT |
Phone | 3343956055 |
Taxonomy
Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
License Number | 21981 |
State | AL |
Is Primary | Yes |
Name | Role |
---|---|
PRADHAN, MEDHA | Agent |
Name | Role |
---|---|
PRADHAN, MEDHA | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State