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Advanced Surgical Care, P.C.

Details

Name: Advanced Surgical Care, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 31 Mar 2006 (19 years ago)
Entity Number: 000-246-576
Register Number: 000246576
County: Colbert
Place of Formation: Colbert County
Principal Address: MUSCLE SHOALS, AL
Registered Office Street Address: 203 WEST AVALON AVE STE 230MUSCLE SHOALS, AL 35661
Registered Office Street Address ZIP Code: 35661
Authorized Capital: 1,000 NPV

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871523597 2006-07-05 2019-08-11 1120 S JACKSON HWY STE 203, SHEFFIELD, AL, 356605770, US 1120 S JACKSON HWY STE 203, SHEFFIELD, AL, 356605770, US

Contacts

Phone +1 256-314-6947
Fax 2563146902

Authorized person

Name EXIE WALLACE
Role OFFICE MANAGER
Phone 2563146947

Taxonomy

Taxonomy Code 208600000X - Surgery Physician
Is Primary Yes

Agent

Name Role
COZART, DAVID T Agent

Incorporator

Name Role
COZART, DAVID T Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State