| Name: | Lee Obstetrics and Gynecology, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 02 Oct 1970 (54 years ago) (Companies founded in October 1970) |
| Entity Number: | 000-016-006 |
| Register Number: | 000016006 |
| Historical Names: |
Drs. Russell, Hurd & Claybrook, P.A.
Lee Obstetrics and Gynecology, P.A. |
| ZIP code: | 36801 (Companies in Lee, 36801) |
| County: | Lee |
| Place of Formation: | Lee County |
| Principal Address: | 121 NORTH 20TH STREET SUITE #2OPELIKA, AL 36801 |
| Registered Office Street Address: | 121 N 20TH STREET #2OPELIKA, AL 36801 |
Activities
PROVIDE MEDICAL SERVICES TO THE PUBLIC
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033170238 | 2006-03-29 | 2022-09-14 | 121 N 20TH ST, BUILDING 2, OPELIKA, AL, 368015449, US | 121 N 20TH ST, BUILDING 2, OPELIKA, AL, 368015449, US | |||||||||||||||||||||
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| Phone | +1 334-745-6447 |
| Fax | 3347420713 |
Authorized person
| Name | DR. WILLIAM L. GOLDEN |
| Role | MANAGING PARTNER |
| Phone | 3347456447 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 528501030 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| FISHER, AMY | Agent | 7974 HEATH ROADWAVERLY, AL 36879 |
| Name | Role | Address |
|---|---|---|
| SMITH, ROBERT K | Incorporator | 121 NORTH 20TH STREET SUITE #2OPELIKA, AL 36801 |
| GOLDEN, WILLIAM L | Incorporator | 121 NORTH 20TH STREET SUITE #2OPELIKA, AL 36801 |
| LITSEY, STEPHEN E | Incorporator | 121 NORTH 20TH STREET SUITE #2OPELIKA, AL 36801 |
| HARRIS, KENNETH L | Incorporator | 121 NORTH 20TH STREET SUITE #2OPELIKA, AL 36801 |
| ALVERSON, M W JR | Incorporator | 121 NORTH 20TH STREET SUITE #2OPELIKA, AL 36801 |
| HENSARLING, KERRI F | Incorporator | 121 NORTH 20TH STREET SUITE #2OPELIKA, AL 36801 |
| MARINO, ROBERT M | Incorporator | 121 NORTH 20TH STREET SUITE #2OPELIKA, AL 36801 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2020-04-06 | Name Change | Lee Obstetrics and Gynecology, P.A. | Lee Obstetrics and Gynecology, P.C. |
| 1977-11-28 | Name Change | Drs. Russell, Hurd & Claybrook, P.A. | Lee Obstetrics and Gynecology, P.A. |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
