| Name: | Wiregrass Medical Associates 2, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 12 Jan 2017 (8 years ago) |
| Date of dissolution: | 02 Dec 2019 |
| Entity Number: | 000-380-353 |
| Register Number: | 000380353 |
| County: | Houston |
| Place of Formation: | Houston County |
| Registered Office Street Address: | 2431 ROSS CLARK CIRCLE, SUITE 1102DOTHAN, AL 36301 |
| Registered Office Street Address ZIP Code: | 36301 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457898983 | 2017-01-23 | 2017-01-23 | 2431 W MAIN ST, STE 1102, DOTHAN, AL, 363011217, US | 2431 W MAIN ST, STE 1102, DOTHAN, AL, 363011217, US | |||||||||||||||
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| Phone | +1 334-699-5780 |
| Fax | 3346995786 |
Authorized person
| Name | DR. KENNETH W HARRIS |
| Role | OWNER |
| Phone | 3346995780 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HARRIS, KENNETH W | Agent | 2431 ROSS CLARK CIRCLE, SUITE 1102DOTHAN, AL 36301 |
| Name | Role | Address |
|---|---|---|
| HARRIS, KENNETH W | Organizer | 2431 ROSS CLARK CIRCLE, SUITE 1102DOTHAN, AL 36301 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
