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Federal Injury Center of Anniston, LLC

Details

Name: Federal Injury Center of Anniston, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Series Ltd. Liability Company
Status: Dissolved
Date of registration: 15 Jun 2021 (3 years ago)
Date of dissolution: 28 Feb 2023
Entity Number: 000-867-735
Register Number: 000867735
County: Calhoun
Place of Formation: Alabama
Registered Office Street Address: 3001 McClellan BlvdAnniston, AL 36201
Registered Office Street Address ZIP Code: 36201
Registered Office Mailing Address: PO Box 1794Anniston, AL 36202
Registered Office Mailing Address ZIP Code: 36202

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386210235 2021-06-01 2021-06-01 PO BOX 1794, ANNISTON, AL, 362021794, US 3001 MCCLELLAN BLVD, ANNISTON, AL, 362012724, US

Contacts

Phone +1 256-237-9423
Fax 2564050578
Fax 2564030578

Authorized person

Name DR. DAVID EDWARD WADE
Role MANAGER
Phone 2562379423

Taxonomy

Taxonomy Code 111NX0100X - Occupational Health Chiropractor
Is Primary No
Taxonomy Code 2083X0100X - Occupational Medicine Physician
Is Primary Yes

Agent

Name Role
NUVO HEALTH, LLC Agent

Organizer

Name Role Address
NUVO Health, LLC Organizer 3001 McClellan BlvdAnniston, AL 36201

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State