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Dothan Medical Associates, P.C.

Details

Name: Dothan Medical Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 23 Jan 1989 (36 years ago)
Entity Number: 000-128-391
Register Number: 000128391
County: Houston
Place of Formation: Houston County
Principal Address: DOTHAN, AL
Registered Office Street Address: 103 SPRING VALLEY COURTDOTHAN, AL 36301
Registered Office Street Address ZIP Code: 36301
Authorized Capital: $1,200

Activities PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972693778 2006-10-13 2014-01-21 1118 ROSS CLARK CIR, SUITE 100, DOTHAN, AL, 363013001, US 1118 ROSS CLARK CIR, SUITE 100, DOTHAN, AL, 363013001, US

Contacts

Phone +1 334-794-1148

Authorized person

Name DONAVON L. WEWERS
Role PRESIDENT
Phone 3347941148

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number 00024467
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DOTHAN MEDICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2023 630991466 2024-07-26 DOTHAN MEDICAL ASSOCIATES, P.C. 109
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-19
Business code 621111
Sponsor’s telephone number 3347941148
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, STE 100, DOTHAN, AL, 36301
DOTHAN MEDICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2022 630991466 2023-07-21 DOTHAN MEDICAL ASSOCIATES, P.C. 102
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-19
Business code 621111
Sponsor’s telephone number 3347941148
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, STE 100, DOTHAN, AL, 36301
DOTHAN MEDICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2021 630991466 2022-07-21 DOTHAN MEDICAL ASSOCIATES, P.C. 99
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-19
Business code 621111
Sponsor’s telephone number 3347941148
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, STE 100, DOTHAN, AL, 36301
DOTHAN MEDICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2020 630991466 2021-07-09 DOTHAN MEDICAL ASSOCIATES, P.C. 85
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-19
Business code 621111
Sponsor’s telephone number 3347941148
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, STE 100, DOTHAN, AL, 36301
DOTHAN MEDICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2019 630991466 2020-05-28 DOTHAN MEDICAL ASSOCIATES, P.C. 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-19
Business code 621111
Sponsor’s telephone number 3347941148
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, STE 100, DOTHAN, AL, 36301
DOTHAN MEDICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2018 630991466 2019-06-20 DOTHAN MEDICAL ASSOCIATES, P.C. 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-19
Business code 621111
Sponsor’s telephone number 3347941148
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, STE 100, DOTHAN, AL, 36301
DOTHAN MEDICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2017 630991466 2018-07-18 DOTHAN MEDICAL ASSOCIATES, P.C. 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-19
Business code 621111
Sponsor’s telephone number 3347941148
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, STE 100, DOTHAN, AL, 36301
DOTHAN MEDICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2016 630991466 2017-07-27 DOTHAN MEDICAL ASSOCIATES, P.C. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-19
Business code 621111
Sponsor’s telephone number 3347941148
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, STE 100, DOTHAN, AL, 36301
DOTHAN MEDICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2015 630991466 2016-09-21 DOTHAN MEDICAL ASSOCIATES , P.C. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-19
Business code 621111
Sponsor’s telephone number 3347941148
Plan sponsor’s address 1118 ROSS CLARK CIR SUITE 100, DOTHAN, AL, 36301
DOTHAN MEDICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2014 630991466 2015-12-22 DOTHAN MEDICAL ASSOCIATES , P.C. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-19
Business code 621111
Sponsor’s telephone number 3347941148
Plan sponsor’s address 1118 ROSS CLARK CIR SUITE 100, DOTHAN, AL, 36301

Signature of

Role Plan administrator
Date 2015-12-22
Name of individual signing JOHN L. STONE

Agent

Name Role
WAGES, J ALAN Agent

Incorporator

Name Role
WAGES, J ALAN Incorporator
STON, JOHN L Incorporator
BARKLEY, THOMAS L Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State