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Carraway Surgical Associates, LLC

Details

Name: Carraway Surgical Associates, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 08 Sep 2000 (24 years ago) (Companies founded in September 2000)
Date of dissolution: 08 Mar 2013
Entity Number: 000-671-699
Register Number: 000671699
ZIP code: 35234 (Companies in Jefferson, 35234)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 1600 CARRAWAY BLVDBIRMINGHAM, AL 35234

Activities PRACTICING MEDICINE/HEALING ARTS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992826325 2007-04-03 2020-08-22 1600 CARRAWAY BLVD, PHYSICIAN PLAZA SUITE 200, BIRMINGHAM, AL, 352341913, US 1600 CARRAWAY BLVD, PHYSICIAN PLAZA SUITE 200, BIRMINGHAM, AL, 352341913, US

Contacts

Phone +1 205-502-3600
Fax 2055023601

Authorized person

Name MRS. BRENDA J BURNETTE
Role MANAGER
Phone 2055023600

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number 6354
State AL
Is Primary Yes

Agent

Name Role
CARRAWAY, ROBERT P Agent

Member

Name Role
CARRAWAY, ROBERT P Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State