Name: | Crown Comprehensive Headache Center, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 25 Oct 2000 (24 years ago) |
Entity Number: | 000-212-842 |
Register Number: | 000212842 |
County: | Madison |
Place of Formation: | Madison County |
Principal Address: | HAMPTON COVE, AL |
Registered Office Street Address: | 2702 TREYBURNE LANEHAMPTON COVE, AL 35763 |
Registered Office Street Address ZIP Code: | 35763 |
Authorized Capital: | $10 |
Activities
RENDER PROFESSIONAL MEDICAL SERVICES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1275722985 | 2007-10-18 | 2007-10-18 | 726 MADISON ST SE, HUNTSVILLE, AL, 358014407, US | 726 MADISON ST SE, HUNTSVILLE, AL, 358014407, US | |||||||||||||||||||
|
Phone | +1 256-533-5445 |
Fax | 2565335449 |
Authorized person
Name | DR. HARRY LEE MCDARIS JR. |
Role | PRESIDENT |
Phone | 2565335445 |
Taxonomy
Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
License Number | MD.15372 |
State | AL |
Is Primary | Yes |
Name | Role |
---|---|
MCDARIS, H LEE JR | Agent |
Name | Role |
---|---|
MCDARIS, H LEE JR | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State