| Name: | Total Spine Surgical Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 05 Sep 2008 (16 years ago) (Companies founded in September 2008) |
| Date of dissolution: | 31 Mar 2015 |
| Entity Number: | 000-424-699 |
| Register Number: | 000424699 |
| ZIP code: | 36545 (Companies in Clarke, 36545) |
| County: | Clarke |
| Place of Formation: | Clarke County |
| Principal Address: | JACKSON, AL |
| Registered Office Street Address: | 1455 COLLEGE AVEJACKSON, AL 36545 |
Activities
PROVIDE PROCEDURE OF MANIPULATION UNDER ANESTHESIA FOR HOSPITALS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801031703 | 2008-12-05 | 2008-12-10 | 1455 COLLEGE AVE, JACKSON, AL, 365452410, US | 1455 COLLEGE AVE, JACKSON, AL, 365452410, US | |||||||||||||
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| Phone | +1 251-246-7333 |
Authorized person
| Name | HUEY KIDD |
| Role | MEDICAL DIRECTOR |
| Phone | 3346365311 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| GRAHAM, BRIAN KEITH | Agent |
| Name | Role |
|---|---|
| GRAHAM, BRIAN | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
