Southern Surgical, LLC

Details

Name:	Southern Surgical, LLC
Jurisdiction:	Alabama
Legal type:	Domestic Limited Liability Company
Status:	Exists
Date of registration:	16 Jun 2011 (13 years ago) (Companies founded in June 2011)
Entity Number:	000-016-340
Register Number:	000016340
Historical Names:	Jonathan L. Skinner, LLC
ZIP code:	36303 (Companies in Houston, 36303)
County:	Houston
Place of Formation:	Houston County
Registered Office Street Address:	123 GIRARD AVEDOTHAN, AL 36303

Activities GENERAL SURGERY

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1528340536

2011-09-15

2022-05-24

105 PROFESSIONAL LN, DOTHAN, AL, 363033875, US

1118 ROSS CLARK CIR, STE 302, DOTHAN, AL, 363013001, US

Contacts

Phone	+1 334-699-0060
Fax	3346990061

Authorized person

Name	DR. JONATHAN L SKINNER
Role	SURGEON - OWNER
Phone	3346990060

Taxonomy

Taxonomy Code	208600000X - Surgery Physician
License Number	18574
State	AL
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

SOUTHERN SURGICAL, LLC PROFIT SHARING PLAN

2023

452610051

2024-10-10

SOUTHERN SURGICAL, LLC

13

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621111
Sponsor’s telephone number	3346183870
Plan sponsor’s address	123 GIRARD AVENUE, DOTHAN, AL, 36303

SOUTHERN SURGICAL, LLC PROFIT SHARING PLAN

2022

452610051

2023-10-16

SOUTHERN SURGICAL, LLC

13

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621111
Sponsor’s telephone number	3346183870
Plan sponsor’s address	123 GIRARD AVENUE, DOTHAN, AL, 36303

SOUTHERN SURGICAL, LLC PROFIT SHARING PLAN

2021

452610051

2022-10-15

SOUTHERN SURGICAL, LLC

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621111
Sponsor’s telephone number	3346183870
Plan sponsor’s address	123 GIRARD AVENUE, DOTHAN, AL, 36303

SOUTHERN SURGICAL, LLC PROFIT SHARING PLAN

2020

452610051

2022-10-15

SOUTHERN SURGICAL, LLC

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621111
Sponsor’s telephone number	3346183870
Plan sponsor’s address	123 GIRARD AVENUE, DOTHAN, AL, 36303

SOUTHERN SURGICAL, LLC PROFIT SHARING PLAN

2020

452610051

2021-10-15

SOUTHERN SURGICAL, LLC

9

Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621111
Sponsor’s telephone number	3346183870
Plan sponsor’s address	123 GIRARD AVENUE, DOTHAN, AL, 36303

SOUTHERN SURGICAL, LLC PROFIT SHARING PLAN

2019

452610051

2020-10-13

SOUTHERN SURGICAL, LLC

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621111
Sponsor’s telephone number	3346183870
Plan sponsor’s address	123 GIRARD AVENUE, DOTHAN, AL, 36303

SOUTHERN SURGICAL, LLC PROFIT SHARING PLAN

2018

452610051

2019-09-29

SOUTHERN SURGICAL, LLC

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621111
Sponsor’s telephone number	3346183870
Plan sponsor’s address	123 GIRARD AVENUE, DOTHAN, AL, 36303

SOUTHERN SURGICAL, LLC PROFIT SHARING PLAN

2017

452610051

2018-09-19

SOUTHERN SURGICAL, LLC

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621111
Sponsor’s telephone number	3346183870
Plan sponsor’s address	123 GIRARD AVENUE, DOTHAN, AL, 36303

SOUTHERN SURGICAL, LLC PROFIT SHARING PLAN

2016

452610051

2017-07-31

SOUTHERN SURGICAL, LLC

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621111
Sponsor’s telephone number	3346183870
Plan sponsor’s address	123 GIRARD AVENUE, DOTHAN, AL, 36303

SOUTHERN SURGICAL, LLC PROFIT SHARING PLAN

2015

452610051

2016-10-13

SOUTHERN SURGICAL, LLC

5

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621111
Sponsor’s telephone number	3346183870
Plan sponsor’s address	123 GIRARD AVENUE, DOTHAN, AL, 36303

Agent

Name	Role
SKINNER, JONATHAN L	Agent

Events

Event Date	Event Type	Old Value	New Value
2011-09-06	Name Change	Jonathan L. Skinner, LLC	Southern Surgical, LLC

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State