| Name: | Winfield Ob/GYN, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 12 Mar 2004 (21 years ago) (Companies founded in March 2004) |
| Entity Number: | 000-234-076 |
| Register Number: | 000234076 |
| ZIP code: | 35594 (Companies in Marion, 35594) |
| County: | Marion |
| Place of Formation: | Marion County |
| Principal Address: | WINFIELD, AL |
| Registered Office Street Address: | 191 CARROWAY DR STE A-1WINFIELD, AL 35594 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790720910 | 2006-06-19 | 2020-08-22 | 191 CARAWAY DR, SUITE A1, WINFIELD, AL, 355945067, US | 191 CARAWAY DR, SUITE A1, WINFIELD, AL, 355945067, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 205-487-1203 |
| Fax | 2054871205 |
Authorized person
| Name | MRS. DEMIE P WEATHERLY |
| Role | OFFICE MANAGER |
| Phone | 2054871203 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| License Number | 12079 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS |
| Number | 51520459 |
| State | AL |
| Name | Role |
|---|---|
| COX, TED R | Agent |
| Name | Role |
|---|---|
| COX, TED R | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
