Name: | Orthopaedics Of South Alabama, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Dissolved |
Date of registration: | 04 Mar 2003 (22 years ago) |
Date of dissolution: | 03 Dec 2008 |
Entity Number: | 000-227-764 |
Register Number: | 000227764 |
County: | Covington |
Place of Formation: | Covington County |
Principal Address: | ANDALUSIA, AL |
Registered Office Street Address: | 300 MEDICAL AVE STE ONEANDALUSIA, AL 36420 |
Registered Office Street Address ZIP Code: | 36420 |
Authorized Capital: | $2,000 |
Activities
MEDICINE PRACTICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1104094465 | 2008-02-20 | 2008-02-20 | 300 MEDICAL AVE, SUITE 1, ANDALUSIA, AL, 364201204, US | 300 MEDICAL AVE, SUITE 1, ANDALUSIA, AL, 364201204, US | |||||||||||||||||||
|
Phone | +1 334-427-1022 |
Fax | 3344271023 |
Authorized person
Name | MR. LANDON B ANDESON |
Role | PHYSICIAN |
Phone | 3344271022 |
Taxonomy
Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
License Number | 25193 |
State | AL |
Is Primary | Yes |
Name | Role |
---|---|
ANDERSON, LANDON BUTLER III | Agent |
Name | Role | Address |
---|---|---|
ALBRITTON, THOMAS B | Incorporator | 109 OPP AVENUEANDALUSIA, AL 36420 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State