| Name: | Brookwood Dermatology, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 30 Aug 2002 (22 years ago) |
| Entity Number: | 000-224-929 |
| Register Number: | 000224929 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | VESTAVIA HILLS, AL |
| Registered Office Street Address: | 521 MONTGOMERY HWY STE 117VESTAVIA HILLS, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
| Authorized Capital: | $10 |
Activities
PROFESSIONAL MEDICAL SVC
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487663266 | 2006-08-07 | 2020-08-22 | 521 MONTGOMERY HWY, SUITE 117, BIRMINGHAM, AL, 352161878, US | 521 MONTGOMERY HWY, SUITE 117, BIRMINGHAM, AL, 352161878, US | |||||||||||||||
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| Phone | +1 205-824-4441 |
| Fax | 2058223978 |
Authorized person
| Name | DONALD W WALTERS |
| Role | OWNER |
| Phone | 2058244441 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| WALTERS, DONALD S | Agent |
| Name | Role |
|---|---|
| WALTERS, DONALD S | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
