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Wiregrass Urology, P.C.

Details

Name: Wiregrass Urology, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 16 Nov 2006 (18 years ago)
Entity Number: 000-249-927
Register Number: 000249927
County: Houston
Place of Formation: Houston County
Registered Office Street Address: 101 ANNA LEE DRDOTHAN, AL 36303
Registered Office Street Address ZIP Code: 36303
Principal Address: DOTHAN, AL
Authorized Capital: $1,200

Activities MEDICAL PRACTICE (UROLOGY)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780758359 2006-11-17 2020-08-22 4300 W MAIN ST, SUITE 102, DOTHAN, AL, 363051054, US 4300 W MAIN ST, SUITE 102, DOTHAN, AL, 363051054, US

Contacts
Phone +1 334-793-9564
Fax 3346718907

Authorized person
Name DR. MARK A BYARD
Role OWNER
Phone 3347939564

Taxonomy
Taxonomy Code 208800000X - Urology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WIREGRASS UROLOGY, P.C. PROFIT SHARING PLAN 2023 205899038 2024-07-26 WIREGRASS UROLOGY, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Plan sponsor’s address 4300 W MAIN STE 102, DOTHAN, AL, 36305
WIREGRASS UROLOGY, P.C. PROFIT SHARING PLAN 2022 205899038 2023-07-28 WIREGRASS UROLOGY, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Plan sponsor’s address 4300 W MAIN STE 102, DOTHAN, AL, 36305
WIREGRASS UROLOGY, P.C. PROFIT SHARING PLAN 2021 205899038 2022-07-29 WIREGRASS UROLOGY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Plan sponsor’s address 4300 W MAIN STE 102, DOTHAN, AL, 36305
WIREGRASS UROLOGY, P.C. PROFIT SHARING PLAN 2020 205899038 2021-08-02 WIREGRASS UROLOGY, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Plan sponsor’s address 4300 W MAIN STE 102, DOTHAN, AL, 36305
WIREGRASS UROLOGY, P.C. PROFIT SHARING PLAN 2019 205899038 2020-07-23 WIREGRASS UROLOGY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Plan sponsor’s address 4300 W MAIN STE 102, DOTHAN, AL, 36305
WIREGRASS UROLOGY, P.C. PROFIT SHARING PLAN 2018 205899038 2019-07-25 WIREGRASS UROLOGY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Plan sponsor’s address 4300 W MAIN STE 102, DOTHAN, AL, 36305
WIREGRASS UROLOGY, P.C. PROFIT SHARING PLAN 2017 205899038 2018-06-29 WIREGRASS UROLOGY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Plan sponsor’s address 4300 W MAIN STE 102, DOTHAN, AL, 36305
WIREGRASS UROLOGY, P.C. PROFIT SHARING PLAN 2016 205899038 2017-07-27 WIREGRASS UROLOGY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Plan sponsor’s address 4300 W MAIN STE 102, DOTHAN, AL, 36305
WIREGRASS UROLOGY, P.C. PROFIT SHARING PLAN 2015 205899038 2016-07-28 WIREGRASS UROLOGY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Plan sponsor’s address 4300 W MAIN STE 102, DOTHAN, AL, 36305
WIREGRASS UROLOGY, P.C. PROFIT SHARING PLAN 2014 205899038 2015-07-28 WIREGRASS UROLOGY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Plan sponsor’s address 4300 W MAIN STE 102, DOTHAN, AL, 36305

Agent

Name Role
BYARD, MARK A Agent

Incorporator

Name Role
BYARD, MARK A Incorporator

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BYARD, MARK A

C & M, LLC N84JC, LLC

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Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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