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Spine Group Alabama, LLC

Details

Name: Spine Group Alabama, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 09 Jul 2018 (6 years ago) (Companies founded in July 2018)
Entity Number: 000-523-789
Register Number: 000523789
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 10 OLD MONTGOMERY HIGHWAY, SUITE 200HOMEWOOD, AL 35209

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
F63ZM4ZKNHB4 2024-12-19 10 OLD MONTGOMERY HWY STE 200, HOMEWOOD, AL, 35209, 6797, USA 10 OLD MONTGOMERY HWY, STE 200, BIRMINGHAM, AL, 35209, 6797, USA

Business Information

URL https://spinegroupalabama.com/
Congressional District 07
State/Country of Incorporation AL, USA
Activation Date 2023-12-21
Initial Registration Date 2023-12-19
Entity Start Date 2018-12-10
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name TIFFANY WESTBROOK
Role BILLING
Address 10 OLD MONTGOMERY HWY, BIRMINGHAM, AL, 35209, USA
Title ALTERNATE POC
Name LYNN LAWSON
Role BILLING
Address 10 OLD MONTGOMERY HWY, BIRMINGHAM, AL, 35209, USA
Government Business
Title PRIMARY POC
Name TIFFANY WESTBROOK
Role BILLING
Address 10 OLD MONTGOMERY HWY, BIRMINGHAM, AL, 35209, USA
Title ALTERNATE POC
Name HARVEY E TORMAN
Role PRACTICE ADMIN
Address 10 OLD MONTGOMERY HWY, BIRMINGHAM, AL, 35209, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891276788 2018-08-28 2019-05-23 10 OLD MONTGOMERY HWY STE 200, BIRMINGHAM, AL, 352096797, US 10 OLD MONTGOMERY HWY STE 200, BIRMINGHAM, AL, 352096797, US

Contacts

Phone +1 205-271-6504
Fax 2052716513

Authorized person

Name MARK JAMES DOWNEY
Role OWNER
Phone 2052716504

Taxonomy

Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
Is Primary Yes

Agent

Name Role
DOWNEY, MARK J Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State