| Name: | Pain Management Physicians, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 13 May 2016 (9 years ago) |
| Entity Number: | 000-362-464 |
| Register Number: | 000362464 |
| County: | Lee |
| Place of Formation: | Lee County |
| Registered Office Street Address: | 2000 PEPPERELL PARKWAYOPELIKA, AL 36801 |
| Registered Office Street Address ZIP Code: | 36801 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467803742 | 2016-06-28 | 2016-06-28 | PO BOX 235019, MONTGOMERY, AL, 361235019, US | 2000 PEPPERELL PKWY, OPELIKA, AL, 368015452, US | |||||||||||||||
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| Phone | +1 334-279-1450 |
| Fax | 3343954110 |
Authorized person
| Name | KELLI SMITH |
| Role | CREDENTIALING COORDINATOR |
| Phone | 3342791450 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRIDGES, JAMES G | Agent | 1537 DUNBAR COURTAUBURN, AL 36830 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
