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North Alabama Vascular Consultants, P.C.

Details

Name: North Alabama Vascular Consultants, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 24 Mar 2008 (17 years ago)
Date of dissolution: 11 Dec 2013
Entity Number: 000-256-680
Register Number: 000256680
County: Madison
Place of Formation: Madison County
Registered Office Street Address: CRESTWOOD MEDICAL PAVILLION STE 300HUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609049428 2008-04-13 2008-10-27 1 HOSPITAL DR SW, CRESTWOOD MEDICAL PAVILLION SUITE 300, HUNTSVILLE, AL, 358016455, US 1 HOSPITAL DR SW, CRESTWOOD MEDICAL PAVILLION SUITE 300, HUNTSVILLE, AL, 358016455, US

Contacts

Phone +1 256-885-4333
Fax 2562657481
Fax 2568853733

Authorized person

Name DR. ANDREW WAYNE KNOTT
Role CEO
Phone 2568854333

Taxonomy

Taxonomy Code 2086S0129X - Vascular Surgery Physician
License Number 28901
State AL
Is Primary Yes

Agent

Name Role
KNOTT, ANDREW W Agent

Incorporator

Name Role
KNOTT, ANDREW W Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State