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Orthopaedics Of South Alabama, P.C.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
ANDERSON, LANDON BUTLER III Agent

Incorporator

Name Role Address
ALBRITTON, THOMAS B Incorporator 109 OPP AVENUEANDALUSIA, AL 36420

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State