| Name: | Medical Specialties of Dothan, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 09 May 1980 (45 years ago) (Companies founded in May 1980) |
| Date of dissolution: | 20 Dec 2007 |
| Entity Number: | 000-061-154 |
| Register Number: | 000061154 |
| Historical Names: |
Medical Specialties of Dothan, P.A.
|
| ZIP code: | 36303 (Companies in Houston, 36303) |
| County: | Houston |
| Place of Formation: | Houston County |
| Registered Office Street Address: | 207 EAST HAVEN DRIVEDOTHAN, AL 36301 |
| Principal Address: | DOTHAN, AL 36303 |
| Authorized Capital: | $1,000 |
Activities
PRACTICE MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396840047 | 2006-09-14 | 2020-08-22 | 207 HAVEN DRIVE, DOTHAN, AL, 36301, US | 207 HAVEN DRIVE, DOTHAN, AL, 36301, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 334-793-1964 |
| Fax | 3347944131 |
Authorized person
| Name | JUDY FAYE WEST |
| Role | OFFICE MANAGER |
| Phone | 3347931964 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| WEST, SAM C JR MD | Agent |
| Name | Role |
|---|---|
| WEST, SAM C JR MD | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1992-12-17 | Name Change | Medical Specialties of Dothan, P.A. | Medical Specialties of Dothan, P.C. |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
