| Name: | Wiregrass Neurology, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 03 May 2011 (14 years ago) (Companies founded in May 2011) |
| Date of dissolution: | 12 Feb 2014 |
| Entity Number: | 000-011-511 |
| Register Number: | 000011511 |
| ZIP code: | 36305 (Companies in Houston, 36305) |
| County: | Houston |
| Place of Formation: | Houston County |
| Registered Office Street Address: | 4300 WEST MAIN STREET SUITE 102DOTHAN, AL 36305 |
| Authorized Capital: | 1,200 @ $1 PV |
Activities
PROVIDE PROFESSIONAL SERVICES IN THE PRACTICE NEUROLOGY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992096440 | 2011-05-02 | 2011-05-02 | 4300 W MAIN ST, SUITE 102, DOTHAN, AL, 363051092, US | 4300 W MAIN ST, SUITE 102, DOTHAN, AL, 363051092, US | |||||||||||||||||||
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| Phone | +1 334-793-9564 |
| Fax | 3346718907 |
Authorized person
| Name | MRS. MELISSA W REEVES |
| Role | ADMINISTRATOR |
| Phone | 3347939564 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | 30759 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARDEN, LINDA A | Agent | 4300 WEST MAIN STREET SUITE 102DOTHAN, AL 36305 |
| Name | Role | Address |
|---|---|---|
| MARDEN, LINDA A | Director | 4300 WEST MAIN STREET SUITE 102DOTHAN, AL 36305 |
| Name | Role | Address |
|---|---|---|
| MARDEN, LINDA A | Incorporator | 4300 WEST MAIN STREET SUITE 102DOTHAN, AL 36305 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
