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Crown Comprehensive Headache Center, P.C.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
MCDARIS, H LEE JR Agent

Incorporator

Name Role
MCDARIS, H LEE JR Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State