| 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 | 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 | |||||||||||||||||||||||||||||||||||||
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| 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 |
|---|
| 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 | |||||||||||||||
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| 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 |
| Name | Role | Address |
|---|---|---|
| HORTON, CHARLES R JR | Agent | 115 MANNING DRIVE STE A-101HUNTSVILLE, AL 35801 |
| 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 |
| Name | Role |
|---|---|
| STEWART, ROBERT E MD | Incorporator |
| 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
