| Name: | Scott A. Charlton, MD, PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 27 Aug 2001 (23 years ago) (Companies founded in August 2001) |
| Entity Number: | 000-218-446 |
| Register Number: | 000218446 |
| ZIP code: | 36360 (Companies in Dale, 36360) |
| County: | Dale |
| Place of Formation: | Dale County |
| Principal Address: | OZARK, AL |
| Registered Office Street Address: | 992 ROY PARKER RD STE 203OZARK, AL 36360 |
| Authorized Capital: | $1,500 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033357744 | 2009-02-03 | 2009-03-10 | PO BOX 311105, ENTERPRISE, AL, 363311105, US | 101 E BRUNSON ST, SUITE 102, ENTERPRISE, AL, 363302526, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 334-393-2353 |
Authorized person
| Name | DR. SCOTT ASHLEY CHARLTON |
| Role | OWNER |
| Phone | 3343932353 |
Taxonomy
| Taxonomy Code | 207Y00000X - Otolaryngology Physician |
| Is Primary | Yes |
| Taxonomy Code | 207YS0123X - Facial Plastic Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 207YX0602X - Otolaryngic Allergy Physician |
| Is Primary | No |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 77LU7 | Obsolete | Non-Manufacturer | 2014-09-08 | 2022-07-11 | 2022-07-10 | No data | |||||||||||||
|
|||||||||||||||||||
| POC | KERRY PAWLOSKI |
| Phone | +1 334-308-9368 |
| Address | 101 E BRUNSON ST STE 102, ENTERPRISE, AL, 36330 2500, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role |
|---|---|
| CHARLTON, SCOTT A | Incorporator |
| Name | Role |
|---|---|
| CHARLTON, SCOTT A | Agent |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
