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Henagar Eye Clinic, Inc.

Details

Name: Henagar Eye Clinic, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 04 Oct 1989 (35 years ago) (Companies founded in October 1989)
Entity Number: 000-133-530
Register Number: 000133530
ZIP code: 35978 (Companies in De Kalb, 35978)
County: De Kalb
Place of Formation: DeKalb County
Principal Address: HENAGAR, AL
Registered Office Street Address: HWY 75HENAGAR, AL 35978
Authorized Capital: $1,000
Paid Share Capital: $1,000

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174799274 2008-05-08 2008-05-08 PO BOX 236, HENAGAR, AL, 359780236, US 17154 AL HWY 75, HENAGAR, AL, 35978, US

Contacts

Phone +1 256-657-3453
Fax 2566573294

Authorized person

Name MS. SHARON KAYE LILES
Role PRESIDENT
Phone 2566573453

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role
LILES, SHARON KAYE DR Agent

Incorporator

Name Role
LILES, SHARON K DR Incorporator
LILES, WILLIAM S Incorporator
LILES, TOMMIE S Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State