| Name: | Gynecology & Wellness Center, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 19 Sep 2001 (23 years ago) |
| Entity Number: | 000-218-881 |
| Register Number: | 000218881 |
| County: | Lee |
| Place of Formation: | Lee County |
| Principal Address: | AUBURN, AL |
| Registered Office Street Address: | 2290 MOORE'S MILL RD STE 200AUBURN, AL 36830 |
| Registered Office Street Address ZIP Code: | 36830 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
PROVIDE GYNECOLOGICAL/MEDICAL SERVICES/COUNSELING
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871615997 | 2007-04-06 | 2012-07-06 | 2290 MOORES MILL ROAD, SUITE 200, AUBURN, AL, 36830, US | 2290 MOORES MILL ROAD, SUITE 200, AUBURN, AL, 36830, US | |||||||||||||||||||||||||
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| Phone | +1 334-502-9888 |
| Fax | 3345029190 |
Authorized person
| Name | TINA M GUNNELS |
| Role | OFFICE MANAGER |
| Phone | 3345029888 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | 20979 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS OF AL |
| Number | 51503912 |
| State | AL |
| Name | Role |
|---|---|
| SHARMA, RAJAMALLIGA N LEE | Agent |
| Name | Role | Address |
|---|---|---|
| SHARMA, RAJAMALLIGA N LEE | Incorporator | No data |
| SHARMA, SHASHI | Incorporator | 411 SOUTH 8TH STREETOPELIKA, AL 36801 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
