| Name: | HIGHLANDS SURGICAL SERVICES, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 28 May 2013 (11 years ago) |
| Entity Number: | 000-280-270 |
| Register Number: | 000280270 |
| County: | Jackson |
| Place of Formation: | Jackson County |
| Principal Address: | 509 BURLINGTON STREETSCOTTSBORO, AL 35768 |
| Principal Address ZIP Code: | 35768 |
| Registered Office Street Address: | 126 E PEACHTREE STREETSCOTTSBORO, AL 35768 |
| Registered Office Street Address ZIP Code: | 35768 |
Activities
MEDICAL TREATMENT
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639514250 | 2013-05-09 | 2022-02-15 | PO BOX 1050, SCOTTSBORO, AL, 357681050, US | 380 WOODS COVE RD STE B, SCOTTSBORO, AL, 357682428, US | |||||||||||||||||||
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| Phone | +1 256-259-0185 |
| Fax | 2562590317 |
Authorized person
| Name | KAREN GRIDER |
| Role | PHYSICIAN SERVICES DIRECTOR |
| Phone | 2562183856 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| License Number | MD32359 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| LACKEY, GARY W | Agent |
| Name | Role |
|---|---|
| NEWELL, DAN | Organizer |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
