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Affinity Orthopedic Specialists, LLC

Details

Name: Affinity Orthopedic Specialists, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 21 Aug 2018 (6 years ago) (Companies founded in August 2018)
Entity Number: 000-527-642
Register Number: 000527642
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Delaware
Principal Address: 4000 MERIDIAN BLVDFRANKLIN, TN 37067
Registered Office Street Address: 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215407226 2018-12-03 2019-01-23 PO BOX 689022, FRANKLIN, TN, 370689022, US 5018 CAHABA RIVER RD, VESTAVIA, AL, 352432317, US

Contacts

Phone +1 615-778-8074
Phone +1 205-971-1901
Fax 2059711902

Authorized person

Name JAMES P WRIGHT
Role VP PHYSICIAN BUSINESS SERVICES
Phone 6157781502

Taxonomy

Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
Is Primary Yes
Taxonomy Code 207XX0004X - Orthopaedic Foot and Ankle Surgery Physician
Is Primary No
Taxonomy Code 207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician
Is Primary No

Agent

Name Role Address
CORPORATION SERVICE COMPANY INC Agent 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State