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Tennessee River Dermatology, P.C.

Details

Name: Tennessee River Dermatology, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 27 Mar 1996 (29 years ago) (Companies founded in March 1996)
Entity Number: 000-178-570
Register Number: 000178570
Place of Formation: Shelby County
Principal Address: FLORENCE, AL
Registered Office Street Address: 2471 HELTON DRIVEFLORENCE, AL 35630-1067
Authorized Capital: $1,000
Paid Share Capital: ----

Activities MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417010554 2006-12-19 2015-03-18 2471 HELTON DR, FLORENCE, AL, 356301067, US 2471 HELTON DR, FLORENCE, AL, 356301067, US

Contacts
Phone +1 256-765-2000
Fax 2567652001

Authorized person
Name JOSEPH MICHAEL WEBB
Role OWNER
Phone 2567652000

Taxonomy
Taxonomy Code 207ND0101X - MOHS-Micrographic Surgery Physician
License Number MD.17380
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TENNESSEE RIVER DERMATOLOGY, P. C. 401 (K) PROFIT SHARING PLAN 2021 631168374 2022-02-08 TENNESSEE RIVER DERMATOLOGY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2567652000
Plan sponsor’s address 2471 HELTON DRIVE, FLORENCE, AL, 356301067
TENNESSEE RIVER DERMATOLOGY, P.C. CASH BALANCE PENSION PLAN 2020 631168374 2021-10-01 TENNESSEE RIVER DERMATOLOGY, P.C. 33
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2567652000
Plan sponsor’s address 2471 HELTON DRIVE, FLORENCE, AL, 35630
TENNESSEE RIVER DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2020 631168374 2021-07-07 TENNESSEE RIVER DERMATOLOGY, P.C. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2567652000
Plan sponsor’s address 2471 HELTON DRIVE, FLORENCE, AL, 356301067
TENNESSEE RIVER DERMATOLOGY, P.C. CASH BALANCE PENSION PLAN 2020 631168374 2021-10-01 TENNESSEE RIVER DERMATOLOGY, P.C. 35
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2567652000
Plan sponsor’s address 2471 HELTON DRIVE, FLORENCE, AL, 35630
TENNESSEE RIVER DERMATOLOGY, P. C. 2020 631168374 2022-01-14 TENNESSEE RIVER DERMATOLOGY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2567652000
Plan sponsor’s address 2471 HELTON DRIVE, FLORENCE, AL, 356301067
TENNESSEE RIVER DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2019 631168374 2020-10-07 TENNESSEE RIVER DERMATOLOGY, P.C. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2567652000
Plan sponsor’s address 2471 HELTON DRIVE, FLORENCE, AL, 356301067
TENNESSEE RIVER DERMATOLOGY, P.C. CASH BALANCE PENSION PLAN 2019 631168374 2020-08-19 TENNESSEE RIVER DERMATOLOGY, P.C. 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2567652000
Plan sponsor’s address 2471 HELTON DRIVE, FLORENCE, AL, 35630
TENNESSEE RIVER DERMATOLOGY, P.C. CASH BALANCE PENSION PLAN 2018 631168374 2019-10-11 TENNESSEE RIVER DERMATOLOGY, P.C. 33
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2567652000
Plan sponsor’s address 2471 HELTON DRIVE, FLORENCE, AL, 35630
TENNESSEE RIVER DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2018 631168374 2019-10-14 TENNESSEE RIVER DERMATOLOGY, P.C. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2567652000
Plan sponsor’s address 2471 HELTON DRIVE, FLORENCE, AL, 356301067
TENNESSEE RIVER DERMATOLOGY, P.C. CASH BALANCE PENSION PLAN 2017 631168374 2018-07-02 TENNESSEE RIVER DERMATOLOGY, P.C. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2567652000
Plan sponsor’s address 2471 HELTON DRIVE, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2018-07-02
Name of individual signing BRIAN THOMAS

Agent

Name Role
WEBB, J MICHAEL Agent

Incorporator

Name Role
RYE, BRUCE MICHAEL Incorporator
WEBB, JOSEPH MICHAEL Incorporator

Related by officers

WEBB, J MICHAEL

Florence Dermatology Foundation, L.L.C.

RYE, BRUCE MICHAEL

Florence Dermatology Foundation, L.L.C.

WEBB, JOSEPH MICHAEL

Webb Farms, L.L.C.

Related by address

FLORENCE, AL

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2471 HELTON DRIVEFLORENCE, AL 35630-1067

Florence Dermatology Foundation, L.L.C.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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