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Montgomery Dermatology, P.C.

Details

Name: Montgomery Dermatology, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 05 Mar 2008 (17 years ago)
Entity Number: 000-256-416
Register Number: 000256416
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 1722 PINE ST STE 405MONTGOMERY, AL 36106
Registered Office Street Address ZIP Code: 36106
Authorized Capital: $500

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982877619 2008-04-02 2021-04-21 4712 BERRY BLVD, MONTGOMERY, AL, 361063080, US 4712 BERRY BLVD, MONTGOMERY, AL, 361063080, US

Contacts
Phone +1 334-834-3094
Fax 3342630598

Authorized person
Name DR. JOHN LEE ANTHONY
Role PRESIDENT/OWNER
Phone 3348343094

Taxonomy
Taxonomy Code 207N00000X - Dermatology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MONTGOMERY DERMATOLOGY, P.C. 401(K) PLAN 2023 262188771 2024-06-05 MONTGOMERY DERMATOLOGY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 3348343094
Plan sponsor’s address 4712 BERRY BOULEVARD, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2024-06-05
Name of individual signing DR. JOHN L. ANTHONY
MONTGOMERY DERMATOLOGY, P.C. 401(K) PLAN 2022 262188771 2023-04-03 MONTGOMERY DERMATOLOGY, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 3348343094
Plan sponsor’s address 4712 BERRY BOULEVARD, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2023-04-03
Name of individual signing DR. JOHN L. ANTHONY
MONTGOMERY DERMATOLOGY, P.C. 401(K) PLAN 2021 262188771 2022-03-25 MONTGOMERY DERMATOLOGY, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 3348343094
Plan sponsor’s address 4712 BERRY BOULEVARD, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2022-03-25
Name of individual signing DR. JOHN L. ANTHONY
Role Employer/plan sponsor
Date 2022-03-25
Name of individual signing DR. JOHN L. ANTHONY
MONTGOMERY DERMATOLOGY, P.C. 401(K) PLAN 2020 262188771 2021-03-31 MONTGOMERY DERMATOLOGY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 3348343094
Plan sponsor’s address 4712 BERRY BOULEVARD, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2021-03-31
Name of individual signing DR. JOHN L. ANTHONY
Role Employer/plan sponsor
Date 2021-03-31
Name of individual signing DR. JOHN L. ANTHONY
MONTGOMERY DERMATOLOGY, P.C. 401(K) PLAN 2019 262188771 2020-04-20 MONTGOMERY DERMATOLOGY, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 3348343094
Plan sponsor’s address 4712 BERRY BOULEVARD, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2020-04-18
Name of individual signing DR. JOHN L. ANTHONY
Role Employer/plan sponsor
Date 2020-04-18
Name of individual signing DR. JOHN L. ANTHONY
MONTGOMERY DERMATOLOGY, P.C. 401(K) PLAN 2018 262188771 2019-03-21 MONTGOMERY DERMATOLOGY, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 3348343094
Plan sponsor’s address 4712 BERRY BOULEVARD, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2019-03-15
Name of individual signing DR. JOHN L. ANTHONY
Role Employer/plan sponsor
Date 2019-03-15
Name of individual signing DR. JOHN L. ANTHONY
MONTGOMERY DERMATOLOGY, P.C. 401(K) PLAN 2017 262188771 2018-05-21 MONTGOMERY DERMATOLOGY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 3348343094
Plan sponsor’s address 4712 BERRY BOULEVARD, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2018-05-21
Name of individual signing JOHN L ANTHONY
MONTGOMERY DERMATOLOGY, P.C. 401(K) PLAN 2016 262188771 2017-03-13 MONTGOMERY DERMATOLOGY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 3348343094
Plan sponsor’s address 4712 BERRY BOULEVARD, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2017-03-13
Name of individual signing JOHN L ANTHONY
Role Employer/plan sponsor
Date 2017-03-13
Name of individual signing JOHN L ANTHONY
MONTGOMERY DERMATOLOGY, P.C. 401(K) PLAN 2015 262188771 2016-03-23 MONTGOMERY DERMATOLOGY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 3348343094
Plan sponsor’s address 4712 BERRY BOULEVARD, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2016-03-21
Name of individual signing JOHN L ANTHONY
Role Employer/plan sponsor
Date 2016-03-21
Name of individual signing JOHN L ANTHONY
MONTGOMERY DERMATOLOGY, P.C. 401(K) PLAN 2014 262188771 2015-04-29 MONTGOMERY DERMATOLOGY, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 3348343094
Plan sponsor’s address 4712 BERRY BOULEVARD, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2015-04-29
Name of individual signing JOHN L ANTHONY

Agent

Name Role
ANTHONY, JOHN L Agent

Incorporator

Name Role Address
WILLIAMS, M COURTNEY Incorporator PO BOX 2069MONTGOMERY, AL 36102-2069

Related by officers

ANTHONY, JOHN L

RJS Industrial Services, Inc. Montgomery Derm Properties, LLC

WILLIAMS, M COURTNEY

Sturbridge Investments, L.L.C. McCulloch Properties, LLC Thornblade Park Apartments II, L.L.C. Stratford Village Holdings, L.L.C. Arbor-Stratford Holdings II, L.L.C. Arbor Station Holdings, L.L.C. Arbor-Stratford Management, L.L.C. Parkway Apartments of SC II, L.L.C. LOTG Holdings, L.L.C. Wyatt Holdings-Mtg., L.L.C.

Related by address

MONTGOMERY, AL

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1722 PINE ST STE 405MONTGOMERY, AL 36106

Montgomery Derm Properties, LLC

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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