| Name: | T.A. Pritchard, M.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 29 May 2002 (22 years ago) |
| Entity Number: | 000-223-163 |
| Register Number: | 000223163 |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Principal Address: | FLORENCE, AL |
| Registered Office Street Address: | 646 COX CREEK PARKWAYFLORENCE, AL 35630 |
| Registered Office Street Address ZIP Code: | 35630 |
| Authorized Capital: | $50 |
Activities
UROLOGY PROFESSION
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154500262 | 2007-10-25 | 2008-06-23 | 646 COX CREEK PKWY, SUITE B, FLORENCE, AL, 356301176, US | 646 COX CREEK PKWY, SUITE B, FLORENCE, AL, 356301176, US | |||||||||||||||||||||||||
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| Phone | +1 256-764-9994 |
| Fax | 2562460035 |
Authorized person
| Name | CINDY HOOKS |
| Role | OFFICE MANAGER |
| Phone | 2562460030 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 9036 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | 340020160 |
| State | AL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| T. A. PRITCHARD, M.D., P.C. 401(K) PROFIT SHARING PLAN | 2022 | 030444741 | 2023-03-13 | T. A. PRITCHARD, M.D., P.C. | 2 | |||||||||||||
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| T. A. PRITCHARD, M.D., P.C. 401(K) PROFIT SHARING PLAN | 2021 | 030444741 | 2022-10-11 | T. A. PRITCHARD, M.D., P.C. | 4 | |||||||||||||
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| Name | Role |
|---|---|
| PRITCHARD, T A | Agent |
| Name | Role | Address |
|---|---|---|
| PITTS, CONRAD C | Incorporator | 401 EAST TUSCALOOSA STFLORENCE, AL 35630 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
