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Walker Comprehensive Pain Center, P.C.

Details

Name: Walker Comprehensive Pain Center, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 25 Jun 2013 (11 years ago) (Companies founded in June 2013)
Date of dissolution: 27 Dec 2019
Entity Number: 000-284-234
Register Number: 000284234
ZIP code: 35502 (Companies in Walker, 35502)
County: Walker
Place of Formation: Walker County
Registered Office Street Address: 1603 EAST 1ST AVENUEJASPER, AL 35501
Principal Mailing Address: POST OFFICE BOX 1427JASPER, AL 35502
Authorized Capital: 1000 @ $1 PV
Paid Share Capital: $1000

Activities ANESTHESIOLOGY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639519762 2013-07-03 2013-07-03 PO BOX 1427, JASPER, AL, 355021427, US 20 MEDICAL CENTER DR, SUITE 20, JASPER, AL, 355013425, US

Contacts

Phone +1 205-221-5374

Authorized person

Name DR. KEVIN GREENE
Role PRESIDENT
Phone 3343862051

Taxonomy

Taxonomy Code 207L00000X - Anesthesiology Physician
Is Primary Yes

Director

Name Role
GREENE, KEVIN Director
FRENETTE, LUC Director
PERSKEY, STEPHEN Director

Incorporator

Name Role
GREENE, KEVIN Incorporator
FRENETTE, LUC Incorporator
PERSKEY, STEPHEN Incorporator

Agent

Name Role
GREENE, KEVIN Agent

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State