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Women's Wellness Center of Dothan, LLC

Details

Name: Women's Wellness Center of Dothan, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 03 Aug 2011 (13 years ago) (Companies founded in August 2011)
Date of dissolution: 22 Mar 2016
Entity Number: 000-021-518
Register Number: 000021518
ZIP code: 36303 (Companies in Houston, 36303)
County: Houston
Place of Formation: Houston County
Registered Office Street Address: 304 REDWOOD AVENUEDOTHAN, AL 36303

Activities OPERATE A MEDICAL PRACTICE & ENGAGE IN ANY LAWFUL PURPOSE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003191933 2011-10-11 2011-10-11 104 MEDICAL DR, DOTHAN, AL, 363036902, US 104 MEDICAL DR, DOTHAN, AL, 363036902, US

Contacts

Phone +1 334-699-8444
Fax 3348360059

Authorized person

Name DR. TRENACE I. DUBREUIL
Role OWNER
Phone 3346998444

Taxonomy

Taxonomy Code 207V00000X - Obstetrics & Gynecology Physician
License Number 22347
State AL
Is Primary Yes

Agent

Name Role Address
DUBREUIL, TRENACE Agent 304 REDWOOD AVENUEDOTHAN, AL 36303

Organizer

Name Role Address
DUBREUIL, TRENACE Organizer 304 REDWOOD AVENUEDOTHAN, AL 36303
TURNER, PAUL F JR Organizer PO BOX 2246DOTHAN, AL 36303

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State