| Name: | David D. Harwood, M.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 15 Jun 1993 (31 years ago) |
| Date of dissolution: | 02 Jan 2018 |
| Entity Number: | 000-157-384 |
| Register Number: | 000157384 |
| Historical Names: |
David D. Harwood, P.C.
|
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 2014 NORMANDIE DRIVEMONTGOMERY, AL 36111 |
| Registered Office Street Address ZIP Code: | 36111 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | ---- |
Activities
PSYCHIATRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104855931 | 2006-07-02 | 2008-06-10 | 1040 LONGFIELD CT, MONTGOMERY, AL, 361178055, US | 1040 LONGFIELD CT, MONTGOMERY, AL, 361178055, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 334-288-9009 |
| Fax | 3342889497 |
Authorized person
| Name | DAVID D. HARWOOD |
| Role | OWNER |
| Phone | 3342889009 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE GROUP NUMBER |
| Number | K872 |
| State | AL |
| Issuer | MEDICARE RR ID |
| Number | 260020429 |
| State | AL |
| Issuer | OWCP PROVIDER NUMBER |
| Number | 167687900 |
| State | AL |
| Name | Role |
|---|---|
| HARWOOD, DAVID D | Agent |
| Name | Role |
|---|---|
| HARWOOD, DAVID D | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1993-08-12 | Name Change | David D. Harwood, P.C. | David D. Harwood, M.D., P.C. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
