| Name: | Michael G. Martin, M.D., Orthopedics and Sports Medicine, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 12 Jun 2000 (24 years ago) (Companies founded in June 2000) |
| Entity Number: | 000-670-290 |
| Register Number: | 000670290 |
| Historical Names: |
Michael G. Martin, M.D., LLC
|
| ZIP code: | 35150 (Companies in Talladega, 35150) |
| County: | Talladega |
| Place of Formation: | Coosa County |
| Principal Address: | SYLACAUGA, AL |
| Registered Office Street Address: | 209 WEST SPRING ST STE 302SYLACAUGA, AL 35150 |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730270562 | 2006-09-27 | 2020-08-22 | 209 W SPRING ST, SUITE 302, SYLACAUGA, AL, 351502973, US | 209 W SPRING ST, SUITE 302, SYLACAUGA, AL, 351502973, US | |||||||||||||||
|
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| Phone | +1 256-249-2249 |
| Fax | 2562498440 |
Authorized person
| Name | GAYLYNN D KELSO |
| Role | OFFICE MANAGER |
| Phone | 2562492249 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MARTIN, MICHAEL G | Agent |
| Name | Role |
|---|---|
| MARTIN, MICHAEL G | Member |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2005-08-22 | Name Change | Michael G. Martin, M.D., LLC | Michael G. Martin, M.D., Orthopedics and Sports Medicine, LLC |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
