| Name: | Mark A. Woods, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 09 Jul 2004 (20 years ago) |
| Entity Number: | 000-236-439 |
| Register Number: | 000236439 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | TUSCALOOSA, AL |
| Registered Office Street Address: | 3544 GRAND ARBORTUSCALOOSA, AL 35406 |
| Registered Office Street Address ZIP Code: | 35406 |
| Authorized Capital: | $5,000 |
Activities
MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326379983 | 2010-01-21 | 2015-01-29 | 2700 UNIVERSITY BLVD, SUITE 401, TUSCALOOSA, AL, 354011403, US | 2700 UNIVERSITY BLVD, SUITE 401, TUSCALOOSA, AL, 354011403, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 205-454-1483 |
| Fax | 2055078356 |
Authorized person
| Name | DR. MARK A. WOODS |
| Role | OWNER |
| Phone | 2054541483 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 12835 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 117024 |
| State | AL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 51047977 |
| State | AL |
| Name | Role |
|---|---|
| WOODS, MARK A | Agent |
| Name | Role |
|---|---|
| WOODS, MARK A | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
