| Name: | SRD Athens, PLLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 13 May 2022 (3 years ago) |
| Entity Number: | 001-019-838 |
| Register Number: | 001019838 |
| County: | Colbert |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 110 East 5th StreetTuscumbia, AL 35674 |
| Registered Office Street Address ZIP Code: | 35674 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053029116 | 2022-11-08 | 2022-11-22 | 110 E 5TH ST, TUSCUMBIA, AL, 356742410, US | 22026 GATEWAY BLVD, SUITES A, ATHENS, AL, 35613, US | |||||||||||||||||
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| Phone | +1 256-383-4990 |
| Fax | 2653832182 |
| Phone | +1 256-383-8037 |
Authorized person
| Name | CHRISTYN SHIELDS |
| Role | CONTROLLER |
| Phone | 2563205903 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Gardiner, James | Agent |
| Name | Role | Address |
|---|---|---|
| Sage, Joshua | Organizer | 402 Enterprise DriveOxford, MS 38655 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
