| Name: | Wetumpka Urology LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 09 Aug 2013 (11 years ago) |
| Date of dissolution: | 02 Jun 2017 |
| Entity Number: | 000-284-953 |
| Register Number: | 000284953 |
| County: | Elmore |
| Place of Formation: | Elmore County |
| Principal Address: | 500 HOSPITAL DRWETUMPKA, AL 36092 |
| Principal Address ZIP Code: | 36092 |
Activities
UROLOGY SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255764007 | 2013-08-15 | 2013-08-15 | 525 HOSPITAL DR, WETUMPKA, AL, 360921626, US | 2257 TAYLOR RD, SUITE 200, MONTGOMERY, AL, 361177790, US | |||||||||||||||||
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| Phone | +1 334-386-9357 |
| Fax | 3345320137 |
Authorized person
| Name | DR. MARGARET J VEREB |
| Role | M.D. |
| Phone | 3343869357 |
Taxonomy
| Taxonomy Code | 208800000X - Urology Physician |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRUCE, MICHAEL | Agent | 42 MALCOLM AVENUE SWRAINSVILLE, AL 35986 |
| Name | Role | Address |
|---|---|---|
| IVY CREEK OF ELMORE LLC | Organizer | 500 HOSPITAL DRWETUMPKA, AL 36092 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
