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DOTHAN PAIN CENTER, LLC

Details

Name: DOTHAN PAIN CENTER, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 06 Feb 2014 (11 years ago) (Companies founded in February 2014)
Entity Number: 000-296-464
Register Number: 000296464
ZIP code: 36303 (Companies in Houston, 36303)
County: Houston
Place of Formation: Houston County
Registered Office Street Address: 318 WESTGATE PARKWAY SUITE 2DOTHAN, AL 36303

Activities PROVIDE OSTEOPATHIC MEDICINE/MANIPULATION THERAPY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851715833 2014-02-11 2014-02-18 318 WESTGATE PKWY, SUITE 2, DOTHAN, AL, 363032963, US 318 WESTGATE PKWY, SUITE 2, DOTHAN, AL, 363032963, US

Contacts

Phone +1 334-702-9445
Fax 3347029465

Authorized person

Name DR. ROBERT SHEDDEN
Role OWNER
Phone 3347029445

Taxonomy

Taxonomy Code 207QA0401X - Addiction Medicine (Family Medicine) Physician
State AL
Is Primary Yes
Taxonomy Code 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
State AL
Is Primary No
Taxonomy Code 2081S0010X - Sports Medicine (Physical Medicine & Rehabilitation) Physician
State AL
Is Primary No

Agent

Name Role Address
SHEDDEN, ROBERT D Agent 1730 PEACOCK ROADWEBB, AL 36376

Organizer

Name Role Address
SHEDDEN, ROBERT D Organizer 1730 PEACOCK ROADWEBB, AL 36376
SHEDDEN, PATRICIA D Organizer 1730 PEACOCK ROADWEBB, AL 36376

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State