| Name: | Hollon Spine Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 12 Dec 2022 (2 years ago) (Companies founded in December 2022) |
| Entity Number: | 001-052-955 |
| Register Number: | 001052955 |
| ZIP code: | 36066 (Companies in Autauga, 36066) |
| County: | Autauga |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 1028 E. MAIN STREETPRATVILLE, AL 36066 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346947348 | 2023-02-09 | 2023-02-09 | 1028 E MAIN ST, PRATTVILLE, AL, 360665624, US | 1028 E MAIN ST, PRATTVILLE, AL, 360665624, US | |||||||||||||||||||||||||
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| Phone | +1 334-430-9560 |
Authorized person
| Name | DR. GEORGE A HOLLON |
| Role | CHIROPRACTOR |
| Phone | 3344309560 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AETNA PRACTITIONER ID |
| Number | 9734618 |
| State | AL |
| Issuer | AMERICAN SPECIALTY HEALTH PRACTITIONER ID |
| Number | 1376119 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| HOLLON, GEORGE ALEXANDER | Agent | 1028 E. MAIN STREETPRATTVILLE, AL 36066 |
| Name | Role | Address |
|---|---|---|
| HOLLON, GEORGE ALEXANDER | Member | 1028 E. MAIN STREETPRATTVILLE, AL 36066 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
