| Name: | Valley Vascular Consultants P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 25 Aug 2010 (14 years ago) |
| Entity Number: | 000-265-097 |
| Register Number: | 000265097 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 201 SIVLEY ROAD, SUITE 530HUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
| Authorized Capital: | $100 |
Activities
PRACTICE OF MEDICAL CARE/TREATMENT OF VASCULAR DISEASE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306155460 | 2010-10-06 | 2020-07-27 | 201 SIVLEY RD SW STE 530, HUNTSVILLE, AL, 358015163, US | 201 SIVLEY RD SW STE 530, HUNTSVILLE, AL, 358015163, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 256-265-7480 |
| Fax | 2562657481 |
Authorized person
| Name | DR. RONNY CARL JOHNSON |
| Role | PRESIDENT |
| Phone | 2562657480 |
Taxonomy
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| License Number | 8023 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| License Number | 17567 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| License Number | 28901 |
| State | AL |
| Is Primary | No |
| Name | Role |
|---|---|
| DODSON, SHELIA | Agent |
| Name | Role | Address |
|---|---|---|
| JOHNSON, RONNY C | Incorporator | 612 HOLMES AVENUEHUNTSVILLE, AL 35801 |
| STUCKY, FRED S III | Incorporator | No data |
| KNOTT, ANDREW W | Incorporator | No data |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
