| Name: | Marshall County Pediatrics, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 14 Jul 1978 (46 years ago) (Companies founded in July 1978) |
| Date of dissolution: | 04 Apr 2023 |
| Entity Number: | 000-052-450 |
| Register Number: | 000052450 |
| ZIP code: | 35976 (Companies in Marshall, 35976) |
| County: | Marshall |
| Place of Formation: | Marshall County |
| Principal Address: | 45 MEDICAL PARK DRIVEGUNTERSVILLE, AL 35976 |
| Authorized Capital: | $2,000 |
| Paid Share Capital: | $2,000 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003078270 | 2008-06-30 | 2008-06-30 | 45 MEDICAL PARK DR, SUITE B, GUNTERSVILLE, AL, 359766999, US | 2525 US HIGHWAY 431, STE 104, BOAZ, AL, 359575934, US | |||||||||||||||||||||||||
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| Phone | +1 256-571-8969 |
| Fax | 2565718980 |
Authorized person
| Name | MRS. VICKY HICKS |
| Role | PRACTICE MANAGEMENT |
| Phone | 2568915102 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 6719 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1508935545 |
| State | AL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARSHALL COUNTY PEDIATRICS, P.C. 401(K) PROFIT SHARING PLAN | 2021 | 630754020 | 2022-02-10 | MARSHALL COUNTY PEDIATRICS, P.C. | 37 | |||||||||||||
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| MARSHALL COUNTY PEDIATRICS, P.C. 401(K) PROFIT SHARING PLAN | 2020 | 630754020 | 2021-04-07 | MARSHALL COUNTY PEDIATRICS, P.C. | 33 | |||||||||||||
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| MARSHALL COUNTY PEDIATRICS, P.C. 401(K) PROFIT SHARING PLAN | 2019 | 630754020 | 2020-04-21 | MARSHALL COUNTY PEDIATRICS, P.C. | 30 | |||||||||||||
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| MARSHALL COUNTY PEDIATRICS, P.C. 401(K) PROFIT SHARING PLAN | 2018 | 630754020 | 2019-04-04 | MARSHALL COUNTY PEDIATRICS, P.C. | 25 | |||||||||||||
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| Name | Role |
|---|---|
| RHODES, SARAH B | Agent |
| Name | Role |
|---|---|
| PACKARD, JOHN MALLORY JR | Incorporator |
| HUIE, RICHARD THOMAS | Incorporator |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
