Dermatology Center South, P.C.

Details

Name:	Dermatology Center South, P.C.
Jurisdiction:	Alabama
Legal type:	Domestic Professional Corporation
Status:	Exists
Date of registration:	16 Dec 2014 (10 years ago) (Companies founded in December 2014)
Entity Number:	000-324-486
Register Number:	000324486
ZIP code:	36301 (Companies in Houston, 36301)
County:	Houston
Place of Formation:	Houston County
Registered Office Street Address:	2800 ROSS CLARK CIRCLE SW SUITE 1DOTHAN, AL 36301
Authorized Capital:	1000 @ $1.00PV

Activities PRACTICE OF DERMATOLOGY

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1003213273

2014-12-03

2800 ROSS CLARK CIR, SUITE 1, DOTHAN, AL, 363012040, US

Contacts

Phone

+1 334-793-2211

Authorized person

Taxonomy

Taxonomy Code	207N00000X - Dermatology Physician
Is Primary	Yes

Name	Role	Address
HEERSINK, SEBASTIAN B	Agent	2800 ROSS CLARK CIRCLEDOTHAN, AL 36301

Name	Role	Address
HEERSINK, SEBASTIAN B	Director	2800 ROSS CLARK CIRCLEDOTHAN, AL 36301
HEERSINK, MARNIX E	Director	2800 ROSS CLARK CIRCLE SW SUITE 1DOTHAN, AL 36301
WILLIAM, BENNETT	Director	2800 ROSS CLARK CIRCLE SW SUITE 1DOTHAN, AL 36301
FORTIN, JOHN G	Director	2800 ROSS CLARK CIRCLE SW SUITE 1DOTHAN, AL 36301
BANSAGI, CSABA ZSOLT	Director	2401 STSTE AVENUEPANAMA CITY, FL 32405
BRYANT, RICHARD	Director	305 HERBERT STREETDEMOPOLIS, AL 36732
PEDDADA, RAN R	Director	2800 ROSS CLARK CIRCLE SW SUITE 1DOTHAN, AL 36301

Name	Role	Address
EYE PARTNERS PC	Incorporator	2800 ROSS CLARK CIRCLE SW SUITE 1DOTHAN, AL 36301

Date of last update: 03 Aug 2024