Detail by Officer/Registered Agent Name

Foreign Limited Liability Company

SOUTHERN INTERVENTIONAL PAIN CENTER LLC

Filing Information
M17000008853 47-4062909 10/17/2017 GA ACTIVE
Principal Address
619 sw baya drive
Suite 102
Lake City, FL 32025

Changed: 03/11/2020
Mailing Address
615 S. HANSELL STREET
THOMASVILLE, GA 31792
Registered Agent Name & Address Greene, Dominique
619 SW BAYA DRIVE, SUITE 102
LAKE CITY, FL 32025

Name Changed: 02/20/2023

Address Changed: 02/20/2023
Authorized Person(s) Detail Name & Address

Title MGRM

SHOKAT, MAX, D.O.
615 S. HANSELL STREET
THOMASVILLE, GA 31792

Annual Reports
Report YearFiled Date
2022 01/21/2022
2023 02/20/2023
2024 02/06/2024