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Huntsville Nephrology Associates, P.C.

Details

Name: Huntsville Nephrology Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 01 Jul 1988 (36 years ago)
Date of dissolution: 22 Sep 2016
Entity Number: 000-124-897
Register Number: 000124897
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 2325 PANSYHUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801
Authorized Capital: $1,000
Paid Share Capital: $1.00

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497838627 2006-10-23 2020-08-22 303 WILLIAMS AVE SW, SUITE 129, HUNTSVILLE, AL, 358016012, US 201 SIVLEY RD SW, HUNTSVILLE, AL, 358015134, US

Contacts

Phone +1 256-532-1888
Fax 2565323941

Authorized person

Name MONICA COPELAND
Role BILLING MGR
Phone 2565321888

Taxonomy

Taxonomy Code 207RN0300X - Nephrology Physician
Is Primary Yes

Incorporator

Name Role
WILLIAMS, ROBERT H MD Incorporator

Agent

Name Role
WILLIAMS, ROBERT H MD Agent

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State