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Walker Women's Specialists P.C.

Details

Name: Walker Women's Specialists P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 12 Jun 2007 (17 years ago)
Entity Number: 000-253-030
Register Number: 000253030
Historical Names: Brunner Obstetrics & Gynecology, P.C.
County: Walker
Place of Formation: Walker County
Registered Office Street Address: 3400 US HWY 78 EAST STE 510JASPER, AL 35502
Registered Office Street Address ZIP Code: 35502
Authorized Capital: $1,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023201258 2007-08-21 2020-11-04 304 BLACKWELL DAIRY RD, JASPER, AL, 35504, US 304 BLACKWELL DAIRY RD, JASPER, AL, 35504, US

Contacts

Phone +1 205-384-4801
Fax 2053844538

Authorized person

Name MS. LINDA MARIE THALER
Role OFFICE MGR
Phone 2052751009

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number AL28185
State AL
Is Primary Yes

Incorporator

Name Role
BRUNNER, BRIDGET Incorporator

Agent

Name Role
BRUNNER, BRIDGET Agent

Events

Event Date Event Type Old Value New Value
2014-01-27 Name Change Brunner Obstetrics & Gynecology, P.C. Walker Women's Specialists P.C.

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State