| Name: | DOTHAN PAIN CENTER, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 06 Feb 2014 (11 years ago) |
| Entity Number: | 000-296-464 |
| Register Number: | 000296464 |
| County: | Houston |
| Place of Formation: | Houston County |
| Registered Office Street Address: | 318 WESTGATE PARKWAY SUITE 2DOTHAN, AL 36303 |
| Registered Office Street Address ZIP Code: | 36303 |
Activities
PROVIDE OSTEOPATHIC MEDICINE/MANIPULATION THERAPY
| 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 | |||||||||||||||||||||||||||||
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| 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 |
| Name | Role | Address |
|---|---|---|
| SHEDDEN, ROBERT D | Agent | 1730 PEACOCK ROADWEBB, AL 36376 |
| 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
