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RELIEF SPINE AND PAIN CENTER LLC

Details

Name: RELIEF SPINE AND PAIN CENTER LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 07 Nov 2023 (a year ago) (Companies founded in November 2023)
Entity Number: 001-107-056
Register Number: 001107056
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 181 W VALLEY AVE STE 245BIRMINGHAM, AL 35209

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598539140 2023-11-14 2024-05-06 1825 GLENN BLVD SW STE 343, FORT PAYNE, AL, 359683533, US 1403 OLD WATER WORKS RD SW, FORT PAYNE, AL, 359683353, US

Contacts

Phone +1 770-403-2403

Authorized person

Name DR. ASMITHA KATHLEEN SATHIYAKUMAR
Role PRESIDENT
Phone 2566467246

Taxonomy

Taxonomy Code 207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary Yes

Other Provider Identifiers

Issuer ALABAMA STATE LICENSE
Number MD47655
State AL

Agent

Name Role
REPUBLIC REGISTERED AGENT LLC Agent

Organizer

Name Role Address
DOBSON, LOVETTE Organizer 17350 STATE HWY 249 #220HOUSTON, TX 77064

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State