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Tuscaloosa Ear, Nose & Throat Center, P.C.

Details

Name: Tuscaloosa Ear, Nose & Throat Center, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 31 Mar 1977 (48 years ago) (Companies founded in March 1977)
Entity Number: 000-045-456
Register Number: 000045456
Historical Names: Doctors Shotts, Walburn & McCord Professional Corporation
ZIP code: 35406 (Companies in Tuscaloosa, 35406)
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Registered Office Street Address: 1300 MCFARLAND BLVD STE 150TUSCALOOSA, AL 35406
Authorized Capital: $1,000
Paid Share Capital: $1,000

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407914245 2006-12-05 2020-08-22 1300 MCFARLAND BLVD NE, SUITE 150, TUSCALOOSA, AL, 354062252, US 1300 MCFARLAND BLVD NE, SUITE 150, TUSCALOOSA, AL, 354062252, US

Contacts

Phone +1 205-758-9041
Fax 2053458328

Authorized person

Name DR. CARLISLE R STEPHENSON III
Role PARTNER-PHYSICIAN
Phone 2057589041

Taxonomy

Taxonomy Code 207Y00000X - Otolaryngology Physician
License Number 3702
State AL
Is Primary Yes

Incorporator

Name Role
SHOTTS, JAMES E JR Incorporator
WALBURN, JAMES H Incorporator
MCCORD, MAX W JR Incorporator

Agent

Name Role
SHOTTS, JAMES E JR Agent

Events

Event Date Event Type Old Value New Value
1990-03-29 Name Change Doctors Shotts, Walburn & McCord Professional Corporation Tuscaloosa Ear, Nose & Throat Center, P.C.

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State