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George R. McWhorter, M.D., P.C.

Details

Name: George R. McWhorter, M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 10 Jan 1986 (39 years ago)
Entity Number: 000-108-144
Register Number: 000108144
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 4 AVENUE W STE D PRATT CITYBIRMINGHAM, AL 35214
Registered Office Street Address ZIP Code: 35214
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275822314 2011-03-29 2011-03-29 401 TUSCALOOSA AVE SW, SUITE 220, BIRMINGHAM, AL, 352111416, US 401 TUSCALOOSA AVE SW, SUITE 220, BIRMINGHAM, AL, 352111416, US

Contacts

Phone +1 205-788-2242
Fax 2057887324

Authorized person

Name GEORGE RALPH MCWHORTER
Role PRESIDENT
Phone 2057882242

Taxonomy

Taxonomy Code 207RG0100X - Gastroenterology Physician
License Number 8979
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 000015063
State AL

Agent

Name Role
MCWHORTER, GEORGE R MD Agent

Incorporator

Name Role
MCWHORTER, GEORGE R MD Incorporator

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State