West Alabama Neurosurgery & Spine, P.C.

Contacts

Phone	+1 205-752-0441
Fax	2053446446

Authorized person

Name	BRYAN S GIVHAN
Role	PRESIDENT
Phone	2057520441

Taxonomy

Taxonomy Code	207T00000X - Neurological Surgery Physician
Is Primary	Yes

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-05-22
Business code	621111
Sponsor’s telephone number	2052929160
Plan sponsor’s address	P. O. BOX 512, NORTHPORT, AL, 35476

Signature of

Role	Plan administrator
Date	2024-04-15
Name of individual signing	ANITA HAYES

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-05-22
Business code	621111
Sponsor’s telephone number	2052929160
Plan sponsor’s address	P. O. BOX 512, NORTHPORT, AL, 35476

Signature of

Role	Plan administrator
Date	2023-06-09
Name of individual signing	BRYAN GIVHAN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-05-22
Business code	621111
Sponsor’s telephone number	2057520441
Plan sponsor’s address	701 UNIVERSITY BLVD E STE 702, DCH, TUSCALOOSA, AL, 35401

Signature of

Role	Plan administrator
Date	2022-07-01
Name of individual signing	BRYAN GIVHAN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-05-22
Business code	621111
Sponsor’s telephone number	2057520441
Plan sponsor’s address	701 UNIVERSITY BLVD E STE 702, DCH, TUSCALOOSA, AL, 35401

Signature of

Role	Plan administrator
Date	2021-05-11
Name of individual signing	BRYAN GIVHAN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-05-22
Business code	621111
Sponsor’s telephone number	2057520441
Plan sponsor’s address	701 UNIVERSITY BLVD E STE 702, DCH, TUSCALOOSA, AL, 35401

Signature of

Role	Plan administrator
Date	2020-07-07
Name of individual signing	BRYAN GIVHAN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-05-22
Business code	621111
Sponsor’s telephone number	2057520441
Plan sponsor’s address	701 UNIVERSITY BLVD E STE 702, DCH, TUSCALOOSA, AL, 35401

Signature of

Role	Plan administrator
Date	2019-07-25
Name of individual signing	BRYAN GIVHAN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-05-22
Business code	621111
Sponsor’s telephone number	2057520441
Plan sponsor’s address	701 UNIVERSITY BLVD E STE 702, DCH, TUSCALOOSA, AL, 35401

Signature of

Role	Plan administrator
Date	2018-06-07
Name of individual signing	BRYAN GIVHAN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-05-22
Business code	621111
Sponsor’s telephone number	2057520441
Plan sponsor’s address	701 UNIVERSITY BLVD E STE 702, DCH, TUSCALOOSA, AL, 35401

Signature of

Role	Plan administrator
Date	2017-07-11
Name of individual signing	BRYAN GIVHAN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-05-22
Business code	621111
Sponsor’s telephone number	2057520441
Plan sponsor’s address	701 UNIVERSITY BLVD E STE 702, DCH, TUSCALOOSA, AL, 35401

Signature of

Role	Plan administrator
Date	2016-08-30
Name of individual signing	BRYAN GIVHAN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-05-22
Business code	621111
Sponsor’s telephone number	2057520441
Plan sponsor’s address	701 UNIVERSITY BLVD E STE 702, DCH, TUSCALOOSA, AL, 35401

Signature of

Role	Plan administrator
Date	2015-09-24
Name of individual signing	BRYAN GIVHAN