| Name: | Marshall Orthopedics, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 21 Sep 2004 (20 years ago) (Companies founded in September 2004) |
| Date of dissolution: | 21 Jun 2016 |
| Entity Number: | 000-237-424 |
| Register Number: | 000237424 |
| ZIP code: | 35976 (Companies in Marshall, 35976) |
| County: | Marshall |
| Place of Formation: | Marshall County |
| Principal Address: | GUNTERSVILLE, AL |
| Registered Office Street Address: | 5903 SPRING CREEK CIRGUNTERSVILLE, AL 35976 |
| Authorized Capital: | $10 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780890319 | 2007-05-14 | 2013-10-02 | 38 ROWE DR, GUNTERSVILLE, AL, 359767367, US | 38 ROWE DR, GUNTERSVILLE, AL, 359767367, US | |||||||||||||||||||||||||
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| Phone | +1 256-571-8913 |
| Fax | 2565718918 |
Authorized person
| Name | DR. DONALD C MARTIN JR. |
| Role | OWNER |
| Phone | 2565718913 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | MD.15004 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529921560 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| MARTIN, DONALD C JR | Agent | 5903 SPRING CIRCLEGUNTERSVILLE, AL 35976 |
| Name | Role | Address |
|---|---|---|
| MARTIN, DONALD C JR | Incorporator | 5903 SPRING CIRCLEGUNTERSVILLE, AL 35976 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
