Menu
Search icon

Decatur Dermatology P.C.

Details

Name: Decatur Dermatology P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 31 Mar 2005 (20 years ago) (Companies founded in March 2005)
Entity Number: 000-240-707
Register Number: 000240707
ZIP code: 35601 (Companies in Morgan, 35601)
County: Morgan
Place of Formation: Morgan County
Principal Address: DECATUR, AL
Registered Office Street Address: 300 MARKET STREET SUITE 201ABDECATUR, AL 35601
Authorized Capital: $10,000
Paid Share Capital: $1,000

Activities RENDER PROFESSIONAL MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770782849 2007-07-17 2007-07-17 1316 SOMERVILLE RD SE, SUITE 4, DECATUR, AL, 356014305, US 1316 SOMERVILLE RD SE, SUITE 4, DECATUR, AL, 356014305, US

Contacts
Phone +1 256-353-7775
Fax 2563537765

Authorized person
Name ERIN K STEWART
Role OFFICE MANAGER
Phone 2563537775

Taxonomy
Taxonomy Code 207NS0135X - Procedural Dermatology Physician
License Number 00026547
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DECATUR DERMATOLOGY, P.C. 401(K) PLAN 2023 202597656 2024-07-17 DECATUR DERMATOLOGY, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2563537775
Plan sponsor’s address 620 WALNUT STREET NE, SUITE A, DECATUR, AL, 35601

Signature of
Role Plan administrator
Date 2024-07-17
Name of individual signing WILLIAM WYATT
DECATUR DERMATOLOGY, P.C. 401(K) PLAN 2022 202597656 2023-08-29 DECATUR DERMATOLOGY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2563537775
Plan sponsor’s address 620 WALNUT STREET NE, SUITE A, DECATUR, AL, 35601

Signature of
Role Plan administrator
Date 2023-08-29
Name of individual signing WILLIAM WYATT
DECATUR DERMATOLOGY, P.C. 401(K) PLAN 2021 202597656 2022-07-16 DECATUR DERMATOLOGY, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2563537775
Plan sponsor’s address 620 WALNUT ST. N.E. STE. A, DECATUR, AL, 35601

Signature of
Role Plan administrator
Date 2022-07-16
Name of individual signing WILLIAM WYATT
DECATUR DERMATOLOGY, P.C. 401(K) PLAN 2020 202597656 2021-08-07 DECATUR DERMATOLOGY, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2563537775
Plan sponsor’s address 620 WALNUT ST. N.E. STE. A, DECATUR, AL, 35601

Signature of
Role Plan administrator
Date 2021-08-07
Name of individual signing WILLIAM WYATT
DECATUR DERMATOLOGY, P.C. 401(K) PLAN 2019 202597656 2020-09-02 DECATUR DERMATOLOGY, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2563537775
Plan sponsor’s address 620 WALNUT ST. N.E. STE. A, DECATUR, AL, 35601

Signature of
Role Plan administrator
Date 2020-09-02
Name of individual signing WILLIAM WYATT
DECATUR DERMATOLOGY, P.C. 401(K) PLAN 2018 202597656 2019-09-27 DECATUR DERMATOLOGY, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2563537775
Plan sponsor’s address 620 WALNUT ST. N.E. STE. A, DECATUR, AL, 35601

Signature of
Role Plan administrator
Date 2019-09-27
Name of individual signing WILLIAM WYATT
DECATUR DERMATOLOGY, P.C. 401(K) PLAN 2017 202597656 2018-07-20 DECATUR DERMATOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2563537775
Plan sponsor’s address 620 WALNUT STREET NE SUITE A, DECATUR, AL, 35601

Signature of
Role Plan administrator
Date 2018-07-20
Name of individual signing WILLIAM WYATT
DECATUR DERMATOLOGY, P.C. 401(K) PLAN 2016 202597656 2017-08-02 DECATUR DERMATOLOGY, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2563537775
Plan sponsor’s address 620 WALNUT STREET NE SUITE A, DECATUR, AL, 35601

Signature of
Role Plan administrator
Date 2017-08-02
Name of individual signing WILLIAM WYATT
DECATUR DERMATOLOGY, P.C. 401(K) PLAN 2015 202597656 2016-06-26 DECATUR DERMATOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2563537775
Plan sponsor’s address 620 WALNUT STREET NE SUITE A, DECATUR, AL, 35601

Signature of
Role Plan administrator
Date 2016-06-26
Name of individual signing WILLIAM WYATT
DECATUR DERMATOLOGY, P.C. 401(K) PLAN 2014 202597656 2015-07-15 DECATUR DERMATOLOGY, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2563537775
Plan sponsor’s address 620 WALNUT STREET NE SUITE A, DECATUR, AL, 35601

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing WILLIAM WYATT

Incorporator

Name Role Address
WYATT, SAMANTHA S Incorporator 620 GORDON DRIVE SEDECATUR, AL 35601

Agent

Name Role Address
WEAVER, LAWRENCE C Agent 300 MARKET STREET SUITE 201ABDECATUR, AL 35601

Related by officers

WYATT, SAMANTHA S

River's Edge Properties, LLC

WEAVER, LAWRENCE C

Lauderdale Co-op Farm and Home, Inc. Weiss Lake Motor Sports, Inc. Valley Pulmonary and Critical Care, P.C. Joseph L. Lovvorn, CPA, PC Level Three Contractors, Inc. The Morgan County Bar Association Club Financing, LLC Weaver Warehouse Properties, LLC Branch Properties, LLC Club Properties, LLC

Related by address

DECATUR, AL

Allied Service & Supply Company, Inc. American Disposal, Inc. Anderson Farms, Inc. Anderson Office Products, Inc. aquatech of Birmingham, Inc. Austin Drug Company, Inc. Auto Electric Supply Company Automotive Paint and Parts Company, Inc. Durango Partners, Inc. Baker Construction Company, Inc.

300 MARKET STREET SUITE 201ABDECATUR, AL 35601

The Morgan County Bar Association

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2024 alabamacompanysearch.com, Part of Big Data Integrated