| Name: | Southern Surgical Associates, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 29 Jun 2001 (23 years ago) |
| Entity Number: | 000-676-363 |
| Register Number: | 000676363 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | TUSCALOOSA, AL |
| Registered Office Street Address: | 535 JACK WARNER PARKWAY, NE, SUITE KTUSCALOOSA, AL 35404 |
| Registered Office Street Address ZIP Code: | 35404 |
Activities
HEALTH CARE SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619026713 | 2007-01-09 | 2020-08-22 | 1060 FAIRFAX PARK, SUITE B, TUSCALOOSA, AL, 35406, US | 1060 FAIRFAX PARK, SUITE B, TUSCALOOSA, AL, 35406, US | |||||||||||||||||||
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| Phone | +1 207-758-6471 |
| Fax | 2057586472 |
Authorized person
| Name | DR. AHMED S FARAH |
| Role | OWNER |
| Phone | 2057586471 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| License Number | 18902 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BEDRI, LENA I | Agent |
| Name | Role |
|---|---|
| FARAH, AHMED | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
