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
621 SW Baya Drive
Suite 102
Lake City, FL 32025

Changed: 02/25/2019
Mailing Address
615 S. HANSELL STREET
THOMASVILLE, GA 31792
Registered Agent Name & Address COLE, REAVES
621 SW BAYA DRIVE, SUITE 101
LAKE CITY, FL 32025
Authorized Person(s) Detail Name & Address

Title MGRM

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

Annual Reports
Report YearFiled Date
2018 03/12/2018
2019 02/25/2019