Tuscaloosa Orthopedic & Joint Institute, PLLC

Contacts

Phone	+1 205-752-4434
Fax	2053914441

Authorized person

Name	TONYA LYNN WILLIAMS
Role	BUSINESS MANAGER
Phone	2053914440

Taxonomy

Taxonomy Code	208100000X - Physical Medicine & Rehabilitation Physician
Is Primary	Yes

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621111
Sponsor’s telephone number	2052064459
Plan sponsor’s address	100 RICE MINE LOOP ROAD, SUITE 205, TUSCALOOSA, AL, 35406

Signature of

Role	Plan administrator
Date	2024-07-11
Name of individual signing	BRYAN R. KING, MD

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621111
Sponsor’s telephone number	2052064459
Plan sponsor’s address	100 RICE MINE LOOP ROAD, SUITE 205, TUSCALOOSA, AL, 35406

Signature of

Role	Plan administrator
Date	2023-09-05
Name of individual signing	BRYAN R. KING, MD

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621111
Sponsor’s telephone number	2052064459
Plan sponsor’s address	100 RICE MINE LOOP ROAD, SUITE 205, TUSCALOOSA, AL, 35406

Signature of

Role	Plan administrator
Date	2022-09-09
Name of individual signing	BRYAN R. KING, MD

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621111
Sponsor’s telephone number	2052064459
Plan sponsor’s address	100 RICE MINE LOOP ROAD, SUITE 205, TUSCALOOSA, AL, 35406

Signature of

Role	Plan administrator
Date	2021-10-05
Name of individual signing	BRYAN R. KING, MD

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621111
Sponsor’s telephone number	2052064459
Plan sponsor’s address	100 RICE MINE LOOP ROAD, SUITE 205, TUSCALOOSA, AL, 35406

Signature of

Role	Plan administrator
Date	2020-10-06
Name of individual signing	BRYAN R. KING, MD

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621111
Sponsor’s telephone number	2057225591
Plan sponsor’s address	3515 WATERMELON ROAD, NORTHPORT, AL, 35473

Signature of

Role	Plan administrator
Date	2019-07-25
Name of individual signing	BRYAN R. KING, MD

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621111
Sponsor’s telephone number	2057225591
Plan sponsor’s address	3515 WATERMELON ROAD, NORTHPORT, AL, 354735174

Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621111
Sponsor’s telephone number	2057225591
Plan sponsor’s address	3515 WATERMELON ROAD, NORTHPORT, AL, 354735174

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621111
Sponsor’s telephone number	2057225591
Plan sponsor’s address	3515 WATERMELON ROAD, NORTHPORT, AL, 354735174

Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621111
Sponsor’s telephone number	2057225591
Plan sponsor’s address	3515 WATERMELON ROAD, NORTHPORT, AL, 354735174

Signature of

Role	Plan administrator
Date	2017-07-18
Name of individual signing	BRYAN KING, M.D.