| Name: | East Alabama Orthopaedics and Sports Medicine, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 Apr 2008 (17 years ago) |
| Entity Number: | 000-418-194 |
| Register Number: | 000418194 |
| Historical Names: |
East Alabama Orthopaedic and Sports Medicine, LLC
|
| County: | Lee |
| Place of Formation: | Lee County |
| Registered Office Street Address: | 2000 PEPPERELL PKWYOPELIKA, AL 36801 |
| Registered Office Street Address ZIP Code: | 36801 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922272624 | 2008-04-15 | 2013-11-01 | 2000 PEPPERELL PKWY, BLD. 5, OPELIKA, AL, 368015452, US | 2000 PEPPERELL PKWY, BLD. 5, OPELIKA, AL, 368015452, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 334-528-2663 |
| Fax | 3345282669 |
Authorized person
| Name | SAMUEL PRICE |
| Role | CFO |
| Phone | 3345283008 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207RS0010X - Sports Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| EAST ALABAMA MEDICAL DEVELOPMENT | Agent |
| Name | Role |
|---|---|
| EAST ALABAMA MEDICAL DEVELOPMENT | Member |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2008-04-10 | Name Change | East Alabama Orthopaedic and Sports Medicine, LLC | East Alabama Orthopaedics and Sports Medicine, LLC |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
