| Name: | L. Dwight Baker, M.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 18 Dec 1998 (26 years ago) (Companies founded in December 1998) |
| Entity Number: | 000-199-525 |
| Register Number: | 000199525 |
| ZIP code: | 36303 (Companies in Houston, 36303) |
| County: | Houston |
| Place of Formation: | Houston County |
| Principal Address: | DOTHAN, AL |
| Registered Office Street Address: | 105 PROFESSIONAL LANEDOTHAN, AL 36303 |
| Authorized Capital: | $100 |
| Paid Share Capital: | $100 |
Activities
PROFESSIONAL MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811285968 | 2011-07-11 | 2011-07-11 | 105 PROFESSIONAL LN, DOTHAN, AL, 363033875, US | 105 PROFESSIONAL LN, DOTHAN, AL, 363033875, US | |||||||||||||||||||||||||||
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| Phone | +1 334-793-3113 |
| Fax | 3346712894 |
Authorized person
| Name | MRS. SHAYNE MATHEWS |
| Role | OFFICE MANAGER |
| Phone | 3347933113 |
Taxonomy
| Taxonomy Code | 2086S0122X - Plastic and Reconstructive Surgery Physician |
| License Number | 8343 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 2086S0122X - Plastic and Reconstructive Surgery Physician |
| License Number | 31063 |
| State | AL |
| Is Primary | No |
| Name | Role |
|---|---|
| BAKER, L DWIGHT | Agent |
| Name | Role |
|---|---|
| BAKER, L DWIGHT | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
