| Name: | ChiroSouth Spine and Sport LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 28 Jul 2017 (7 years ago) |
| Entity Number: | 000-397-929 |
| Register Number: | 000397929 |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Registered Office Street Address: | 277 SOUTH MCGREGOR AVENUEMOBILE, AL 36608 |
| Registered Office Street Address ZIP Code: | 36608 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205351863 | 2017-08-04 | 2017-08-04 | 151 FLY CREEK AVE STE 411, FAIRHOPE, AL, 365328308, US | 277 MCGREGOR AVE S, MOBILE, AL, 366082340, US | |||||||||||||||||||||||
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| Phone | +1 850-990-8383 |
| Fax | 8509908399 |
| Phone | +1 251-990-8383 |
| Fax | 2519908399 |
Authorized person
| Name | DR. JUSTIN F SOUTHALL |
| Role | OWNER/CHIROPRACTOR |
| Phone | 8509908383 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 2292 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MCLAUGHLIN, SARAH OUTLAW | Organizer | 71 NORTH SECTION STREET SUITE BFAIRHOPE, AL 36532 |
| Name | Role |
|---|---|
| SOUTHALL, JUSTIN F | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
