| Name: | Randall W. Nichols, M.D. P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 27 Jun 1991 (33 years ago) (Companies founded in June 1991) |
| Entity Number: | 000-143-872 |
| Register Number: | 000143872 |
| ZIP code: | 36303 (Companies in Houston, 36303) |
| County: | Houston |
| Place of Formation: | Houston County |
| Principal Address: | DOTHAN, AL |
| Registered Office Street Address: | 1623 EAST MAIN STREETDOTHAN, AL 36303 |
| Authorized Capital: | $120 |
Activities
PROVIDE MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164665188 | 2009-04-07 | 2009-04-07 | 112 HAVEN DR, SUITE 2, DOTHAN, AL, 363012957, US | 112 HAVEN DR, SUITE 2, DOTHAN, AL, 363012957, US | |||||||||||||||||
|
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| Phone | +1 334-677-6220 |
Authorized person
| Name | GERALDINE LEWIS |
| Role | OFFICE MANAGER |
| Phone | 3346776220 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| License Number | 9258 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NICHOLS, RANDALL W MD | Incorporator |
| Name | Role |
|---|---|
| NICHOLS, RANDALL W MD | Agent |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
