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S Douglas Owens, M.D., P.C.

Details

Name: S Douglas Owens, M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 19 Dec 2003 (21 years ago)
Date of dissolution: 28 Dec 2022
Entity Number: 000-232-507
Register Number: 000232507
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 6880 WINTON BLOUNT BLVDMONTGOMERY, AL 36117
Registered Office Street Address ZIP Code: 36117
Authorized Capital: $1,000

Activities MEDICINE/SURGERY PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841235181 2006-06-19 2008-01-23 262 MITYLENE PARK DR, MONTGOMERY, AL, 361173548, US 262 MITYLENE PARK DR, MONTGOMERY, AL, 361173548, US

Contacts

Phone +1 334-260-8511
Fax 3342608755

Authorized person

Name DR. STEPHEN DOUGLAS OWENS
Role DOCTOR
Phone 3342608511

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number 15332
State AL
Is Primary Yes

Agent

Name Role
OWENS, S DOUGLAS Agent

Incorporator

Name Role
OWENS, S DOUGLAS Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State