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ENT South, P.C.

Details

Name: ENT South, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 04 Mar 2014 (11 years ago)
Entity Number: 000-298-169
Register Number: 000298169
County: Houston
Place of Formation: Houston County
Registered Office Street Address: 1733 WEST MAIN STREET SUITE 100DOTHAN, AL 36301
Registered Office Street Address ZIP Code: 36301
Authorized Capital: 1200 @ $1.00PV

Activities ENT CARE AND ALL MEDICAL SERVICES RELATED OR INCIDENT THERETO

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326464066 2014-03-05 2024-01-15 PO BOX 8159, MOBILE, AL, 366890159, US 4550 W MAIN ST STE 1, DOTHAN, AL, 363051130, US

Contacts
Phone +1 251-414-5810
Fax 2514145809
Phone +1 334-793-6673
Fax 3347920515

Authorized person
Name JEANETTE DOSTER
Role OFFICE MANAGER
Phone 3347936673

Taxonomy
Taxonomy Code 207Y00000X - Otolaryngology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ENT SOUTH, P.C. 401K PLAN 2023 464973829 2024-09-12 ENT SOUTH, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 3347936673
Plan sponsor’s address 4550 WEST MAIN STREET, SUITE 1, DOTHAN, AL, 36305
ENT SOUTH, P.C. 401K PLAN 2022 464973829 2023-09-26 ENT SOUTH, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 3347936673
Plan sponsor’s address 4550 WEST MAIN STREET, SUITE 1, DOTHAN, AL, 36305
ENT SOUTH, P.C. 401K PLAN 2021 464973829 2022-10-09 ENT SOUTH, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 3347936673
Plan sponsor’s address 4550 WEST MAIN STREET, SUITE 1, DOTHAN, AL, 36305
ENT SOUTH, P.C. 401K PLAN 2020 464973829 2021-04-27 ENT SOUTH, P.C. 12
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 3347936673
Plan sponsor’s address 112 HAVEN DRIVE, NO. 1, DOTHAN, AL, 36301
ENT SOUTH, P.C. 401K PLAN 2020 464973829 2021-04-27 ENT SOUTH, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 3347936673
Plan sponsor’s address 112 HAVEN DRIVE, NO. 1, DOTHAN, AL, 36301
ENT SOUTH, P.C. 401K PLAN 2019 464973829 2020-07-23 ENT SOUTH, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 3347936673
Plan sponsor’s address 112 HAVEN DRIVE, NO. 1, DOTHAN, AL, 36301
ENT SOUTH, P.C. 401K PLAN 2018 464973829 2019-07-01 ENT SOUTH, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 3347936673
Plan sponsor’s address 112 HAVEN DRIVE, NO. 1, DOTHAN, AL, 36301
ENT SOUTH, P.C. 401K PLAN 2017 464973829 2018-10-09 ENT SOUTH, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 3347936673
Plan sponsor’s address 112 HAVEN DRIVE, NO. 1, DOTHAN, AL, 36301
ENT SOUTH, P.C. 401K PLAN 2016 464973829 2017-07-14 ENT SOUTH, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 3347936673
Plan sponsor’s address 112 HAVEN DRIVE, NO. 1, DOTHAN, AL, 36301

Agent

Name Role Address
NUNNALLY, F K Agent 1733 WEST MAIN STREET SUITE 100DOTHAN, AL 36305

Director

Name Role Address
NUNNALLY, F K Director 1733 WEST MAIN STREET SUITE 100DOTHAN, AL 36305

Related by officers

NUNNALLY, F K

Dothan ENT, P.C.

Related by address

1733 WEST MAIN STREET SUITE 100DOTHAN, AL 36301

Dothan ENT, P.C.

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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