| Name: | Barry C. Ginsburg, M.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 26 Nov 1985 (39 years ago) (Companies founded in November 1985) |
| Date of dissolution: | 08 Jan 2024 |
| Entity Number: | 000-107-453 |
| Register Number: | 000107453 |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 924 MONTCLAIR ROAD SUITE 108, COBB BUILDINGBIRMINGHAM, AL |
| Authorized Capital: | $10,000 |
| Paid Share Capital: | $1,000 |
Activities
MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689284655 | 2020-08-05 | 2021-01-27 | 972 MONTCLAIR RD STE 100, BIRMINGHAM, AL, 352131203, US | 972 MONTCLAIR RD STE 100, BIRMINGHAM, AL, 352131203, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 205-592-4880 |
Authorized person
| Name | BARRY C GINSBURG |
| Role | PRESIDENT |
| Phone | 2055924880 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | No |
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Taxonomy Code | 207ND0101X - MOHS-Micrographic Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 252816 |
| State | AL |
| Name | Role |
|---|---|
| GINSBURG, BARRY C | Agent |
| Name | Role |
|---|---|
| GINSBURG, BARRY C | Incorporator |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
