| 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) |
| Date of dissolution: | 30 Dec 2019 |
| Entity Number: | 000-205-943 |
| Register Number: | 000205943 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 2700 10TH AVE SOUTH STE 502BIRMINGHAM, AL 35205 |
| Registered Office Street Address ZIP Code: | 35205 |
| Authorized Capital: | $500 |
Activities
MEDICAL PRACTICE SPECIALIZING IN OTOLOGY
| 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 | |||||||||||||||||||||||||
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| 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 |
| Name | Role | Address |
|---|---|---|
| RODGERS, GRAYSON K | Agent | 2700 10TH AVE S #502BIRMINGHAM, AL 35233 |
| 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
