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Wiregrass Wound Care, LLC

Details

Name: Wiregrass Wound Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 26 Jan 2011 (14 years ago) (Companies founded in January 2011)
Date of dissolution: 08 Apr 2014
Entity Number: 000-001-525
Register Number: 000001525
ZIP code: 36303 (Companies in Houston, 36303)
County: Houston
Place of Formation: Houston County
Registered Office Street Address: 1603 OSCEOLA STREETDOTHAN, AL 36303

Activities COORDINATED CARE FOR WOUNDS OF ANY ORIGIN MEDICAL CONDITIONS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578861688 2011-03-14 2011-03-21 PO BOX 9104, DOTHAN, AL, 363041104, US 1908 FAIRVIEW AVE, DOTHAN, AL, 363013008, US

Contacts

Phone +1 334-699-6863
Fax 3346996864

Authorized person

Name ALEXANDER G BENZ
Role OWNER/MD
Phone 3346996863

Taxonomy

Taxonomy Code 2083P0011X - Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Is Primary Yes

Agent

Name Role Address
BENZ, ALEXANDER G Agent 1603 OSCEOLA STREETDOTHAN, AL 36303

Member

Name Role Address
DAVIS, HUGH H Member 1707 MONTEZUMA AVENUEDOTHAN, AL 36303
BENZ, ALEXANDER G Member 1603 OSCEOLA STREETDOTHAN, AL 36303

Organizer

Name Role Address
BENZ, ALEXANDER G Organizer 1603 OSCEOLA STREETDOTHAN, AL 36303
DAVIS, HUGH H Organizer 1707 MONTEZUMA AVENUEDOTHAN, AL 36303

Date of last update: 29 Jul 2024

Sources: Alabama Secretary of State