| Name: | Southern Institute of Aesthetics PC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Professional Corporation |
| Status: | Exists |
| Date of registration: | 30 Apr 2014 (11 years ago) (Companies founded in April 2014) |
| Entity Number: | 000-320-924 |
| Register Number: | 000320924 |
| ZIP code: | 36301 (Companies in Houston, 36301) |
| County: | Houston |
| Place of Formation: | Georgia |
| Principal Address: | 2800 ROSS CLARK CIRCLE STE 2DOTHAN, AL 36301 |
| Principal Mailing Address: | 4980 FLOWERS CHAPEL ROAD P-80DOTHAN, AL 36305 |
| Registered Office Street Address: | 4980 FLOWERS CHAPEL P-80DOTHAN, AL 36305 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386044543 | 2014-08-25 | 2021-09-10 | 1733 W MAIN ST, SUITE 500, DOTHAN, AL, 363011321, US | 1733 W MAIN ST, SUITE 500, DOTHAN, AL, 36301, US | |||||||||||||||
|
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| Phone | +1 334-699-7546 |
| Fax | 3346997548 |
Authorized person
| Name | ANGELA BOOKOUT |
| Role | PRESIDENT |
| Phone | 3346997546 |
Taxonomy
| Taxonomy Code | 207ND0101X - MOHS-Micrographic Surgery Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BOOKOUT, ANGELA L | Agent |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
