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Twickenham Pediatrics, P.C.

Details

Name: Twickenham Pediatrics, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 01 Aug 1973 (51 years ago)
Entity Number: 000-031-729
Register Number: 000031729
Historical Names: Robert E. Stewart, M.D., P.A.
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 115 MANNING DRIVE SUITE 101HUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801
Authorized Capital: $4,000
Paid Share Capital: $2,000

Activities PRACTICE MEDICINE

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
NGXMNXVVEVG8 2024-12-04 115 MANNING DR SW STE A101, HUNTSVILLE, AL, 35801, 4341, USA 115 MANNING DR SW STE A101, HUNTSVILLE, AL, 35801, 4341, USA

Business Information

Congressional District 05
State/Country of Incorporation AL, USA
Activation Date 2023-12-07
Initial Registration Date 2023-10-20
Entity Start Date 1973-08-01
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 621111

Points of Contacts

Electronic Business
Title PRIMARY POC
Name MELISSA WASHBURN
Address 115 MANNING DR SW STE A101, HUNTSVILLE, AL, 35801, USA
Government Business
Title PRIMARY POC
Name MELISSA WASHBURN
Address 115 MANNING DR SW STE A101, HUNTSVILLE, AL, 35801, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861530776 2007-02-02 2023-08-07 115 MANNING DR SW, SUITE A101, HUNTSVILLE, AL, 358014315, US 115 MANNING DR SW, SUITE A101, HUNTSVILLE, AL, 358014315, US

Contacts

Phone +1 256-533-1030
Fax 2565331043

Authorized person

Name DR. MURIEL A DESIMONE
Role M.D.
Phone 2565331030

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes

Agent

Name Role Address
HORTON, CHARLES R JR Agent 115 MANNING DRIVE STE A-101HUNTSVILLE, AL 35801

Director

Name Role Address
HORTON, CHARLES R JR Director 115 MANNING DRIVE STE A-101HUNTSVILLE, AL 35801
DESIMONE, MURIEL A Director 115 MANNING DRIVE STE A-101HUNTSVILLE, AL 35801

Incorporator

Name Role
STEWART, ROBERT E MD Incorporator

Events

Event Date Event Type Old Value New Value
2000-04-19 Name Change Robert E. Stewart, M.D., P.A. Twickenham Pediatrics, P.C.
2000-04-19 Capital Change -- Authorized -- Paid In $4,000 Authorized $2,000 Paid In

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State