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HUNTSVILLE PLASTIC SURGERY, PC

Details

Name: HUNTSVILLE PLASTIC SURGERY, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 13 Jan 2011 (14 years ago)
Entity Number: 000-266-235
Register Number: 000266235
Historical Names: Wilson Plastic Surgery, P.C.
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 520 MADISON ST SE STE AHUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801
Authorized Capital: $2,000
Paid Share Capital: $1,000

Activities PRACTICE OF PLASTIC SURGERY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487380069 2022-07-27 2022-07-27 805 MADISON STREET, SUITE 1D, HUNTSVILLE, AL, 358014424, US 2620 CARL T. JONES DR. SE., HUNTSVILLE, AL, 358024951, US

Contacts

Phone +1 256-551-2002
Fax 2565512003

Authorized person

Name PATRICK WILSON
Role PRESIDENT
Phone 2567011991

Taxonomy

Taxonomy Code 208200000X - Plastic Surgery Physician
Is Primary Yes
Taxonomy Code 2082S0099X - Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Is Primary No
Taxonomy Code 2086S0122X - Plastic and Reconstructive Surgery Physician
Is Primary No

Agent

Name Role
WILSON, PATRICK C Agent

Director

Name Role Address
WILSON, PATRICK CHARLES Director 520 MADISON ST SE STE AHUNTSVILLE, AL 35801

Incorporator

Name Role Address
WILSON, PATRICK CHARLES Incorporator 520 MADISON ST SE STE AHUNTSVILLE, AL 35801

Events

Event Date Event Type Old Value New Value
2020-11-05 Name Change Wilson Plastic Surgery, P.C. HUNTSVILLE PLASTIC SURGERY, PC

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State