| Name: | Dothan Urology, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 31 Oct 2001 (23 years ago) (Companies founded in October 2001) |
| Date of dissolution: | 27 Dec 2012 |
| Entity Number: | 000-219-581 |
| Register Number: | 000219581 |
| ZIP code: | 36305 (Companies in Houston, 36305) |
| County: | Houston |
| Place of Formation: | Houston County |
| Principal Address: | DOTHAN, AL |
| Registered Office Street Address: | 4300 WEST MAIN ST STE 102DOTHAN, AL 36305 |
| Authorized Capital: | $1,200 |
Activities
PRACTICE OF UROLOGY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215917745 | 2006-01-19 | 2020-08-22 | 4300 W MAIN ST, SUITE 102, DOTHAN, AL, 363051054, US | 4300 W MAIN ST, SUITE 102, DOTHAN, AL, 363051054, US | |||||||||||||||
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| Phone | +1 334-793-9564 |
| Fax | 3346718907 |
Authorized person
| Name | MRS. LOIS W SALLAS |
| Role | INSURANCE SUPERVISOR |
| Phone | 3347939564 |
Taxonomy
| Taxonomy Code | 208800000X - Urology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SIMMONS, MICHAEL G | Incorporator |
| Name | Role |
|---|---|
| SIMMONS, MICHAEL G | Agent |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
