| Name: | Wayne G. Stanley, M.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 17 Jan 2001 (24 years ago) (Companies founded in January 2001) |
| Date of dissolution: | 02 Jan 2024 |
| Entity Number: | 000-214-183 |
| Register Number: | 000214183 |
| ZIP code: | 35630 (Companies in Lauderdale, 35630) |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Principal Address: | FLORENCE, AL |
| Registered Office Street Address: | 1509 CHISHOLM RDFLORENCE, AL 35630 |
| Authorized Capital: | $4,000 |
Activities
PRACTICE OF MEDICINE/PROVIDE MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427255413 | 2007-07-02 | 2020-08-22 | 1509 CHISHOLM RD, P.O. BOX 3105, FLORENCE, AL, 356302207, US | 1509 CHISHOLM RD, FLORENCE, AL, 356302207, US | |||||||||||||||||||
|
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| Phone | +1 256-766-4110 |
| Fax | 2567662370 |
Authorized person
| Name | DR. WAYNE GADD STANLEY |
| Role | PHYSICIAN |
| Phone | 2567664110 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | 9564 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| STANLEY, WAYNE G | Agent |
| Name | Role |
|---|---|
| STANLEY, WAYNE G | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
