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Birmingham Hearing and Balance Center, P.C.

Details

Name: Birmingham Hearing and Balance Center, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 20 Oct 1999 (25 years ago) (Companies founded in October 1999)
Date of dissolution: 30 Dec 2019
Entity Number: 000-205-943
Register Number: 000205943
ZIP code: 35205 (Companies in Jefferson, 35205)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 2700 10TH AVE SOUTH STE 502BIRMINGHAM, AL 35205
Authorized Capital: $500

Activities MEDICAL PRACTICE SPECIALIZING IN OTOLOGY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790936284 2008-10-02 2008-10-02 2700 10TH AVE S, SUITE 502, BIRMINGHAM, AL, 352051200, US 2700 10TH AVE S, SUITE 502, BIRMINGHAM, AL, 352051200, US

Contacts

Phone +1 205-933-2951
Fax 2059335893

Authorized person

Name DR. GRAYSON K RODGERS
Role PRESIDENT
Phone 2059332951

Taxonomy

Taxonomy Code 207YX0901X - Otology & Neurotology Physician
License Number 16561
State AL
Is Primary Yes

Other Provider Identifiers

Issuer INDIVIDUAL NPI
Number 1033228242
State AL

Agent

Name Role Address
RODGERS, GRAYSON K Agent 2700 10TH AVE S #502BIRMINGHAM, AL 35233

Incorporator

Name Role Address
RODGERS, GRAYSON K Incorporator 2700 10TH AVE S #502BIRMINGHAM, AL 35233

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State