| Name: | Decatur Neurology, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 02 Jan 1992 (33 years ago) |
| Date of dissolution: | 10 Mar 2017 |
| Entity Number: | 000-146-907 |
| Register Number: | 000146907 |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Principal Address: | DECATUR, AL |
| Registered Office Street Address: | 1206 13TH AVE SEDECATUR, AL 35601 |
| Registered Office Street Address ZIP Code: | 35601 |
| Authorized Capital: | $10,000 |
Activities
NEUROLOGICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457377913 | 2006-07-15 | 2008-08-14 | 1215 7TH ST SE, SUITE 260, DECATUR, AL, 356013337, US | 1215 7TH ST SE, SUITE 260, DECATUR, AL, 356013337, US | |||||||||||||||||||||||||
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| Phone | +1 256-350-4885 |
Authorized person
| Name | DR. STEPHEN SUGGS |
| Role | OWNER |
| Phone | 2563504885 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | CM6407 |
| State | AL |
| Issuer | MEDICAID |
| Number | 529202350 |
| State | AL |
| Name | Role |
|---|---|
| NORWOOD, ESTON G III | Agent |
| Name | Role |
|---|---|
| NORWOOD, ESTON G III | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
