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Urology South, P.C.

Details

Name: Urology South, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 12 Nov 1999 (25 years ago) (Companies founded in November 1999)
Entity Number: 000-206-309
Register Number: 000206309
ZIP code: 35007 (Companies in Shelby, 35007)
County: Shelby
Place of Formation: Shelby County
Principal Address: ALABASTER, AL
Registered Office Street Address: 1004 1ST STREET NORTH SUITE 320ALABASTER, AL 35007
Authorized Capital: $5,000

Activities PRACTICE OF MEDICINE/UROLOGY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497025878 2012-01-03 2012-01-03 1004 1ST ST N, SUITE 320, ALABASTER, AL, 350078766, US 1004 1ST ST N, SUITE 320, ALABASTER, AL, 350078766, US

Contacts

Phone +1 205-663-4638
Fax 2056205209

Authorized person

Name SCOTT KELLY
Role PRESIDENT
Phone 2056634638

Taxonomy

Taxonomy Code 208800000X - Urology Physician
License Number 12520
State AL
Is Primary Yes

Incorporator

Name Role
KELLY, SCOTT Incorporator

Agent

Name Role
KELLY, SCOTT Agent

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State