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Southern Orthopaedic Alliance, PLLC

Details

Name: Southern Orthopaedic Alliance, PLLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 16 Jun 2022 (2 years ago) (Companies founded in June 2022)
Entity Number: 001-025-539
Register Number: 001025539
ZIP code: 36093 (Companies in Elmore, 36093)
County: Elmore
Place of Formation: Alabama
Registered Office Street Address: 4037 US Hwy 231, Suite AWetumpka, AL 36093

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093561896 2024-04-24 2024-04-24 PO BOX 117709, ATLANTA, GA, 303687709, US 1121 BELLEVILLE AVE STE A, BREWTON, AL, 364261502, US

Contacts

Phone +1 251-435-2663
Phone +1 251-928-2401
Fax 2514355099

Authorized person

Name JOSEPH GRANT ZARZOUR
Role PRINCIPLE PHYSICIAN
Phone 2516543798

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Agent

Name Role
Incorp Services, Inc. Agent

Organizer

Name Role Address
Zarzour, J. Grant Organizer 1720 Springhill Ave, Suite 301Mobile, AL 36606

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State