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Southern Pain Control Center, Inc.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
PRADHAN, MEDHA Agent

Incorporator

Name Role
PRADHAN, MEDHA Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State