| Name: | Karen Fagin MD, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 16 Jul 2007 (17 years ago) |
| Date of dissolution: | 19 Jan 2023 |
| Entity Number: | 000-497-201 |
| Register Number: | 000497201 |
| County: | Lee |
| Place of Formation: | Lee County |
| Principal Address: | AUBURN, AL |
| Registered Office Street Address: | 730 NORTH DEAN RD STE 300AUBURN, AL 36830 |
| Registered Office Street Address ZIP Code: | 36830 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841494515 | 2007-06-14 | 2020-08-22 | PO BOX 4054, AUBURN, AL, 368314054, US | 2000 PEPPERELL PKWY BLDG 190, OPELIKA, AL, 368015452, US | |||||||||||||||||||
|
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| Phone | +1 334-821-7511 |
| Phone | +1 334-528-5930 |
Authorized person
| Name | KAREN FAGIN |
| Role | OWNER |
| Phone | 3345285930 |
Taxonomy
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| License Number | 27896 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KELLEY, ROBIN | Agent | 423 HARE AVEAUBURN, AL 36830 |
| Name | Role |
|---|---|
| FAGIN, KAREN | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
