| Name: | New South Psychiatry, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 09 Feb 2018 (7 years ago) |
| Entity Number: | 000-510-147 |
| Register Number: | 000510147 |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | 1104 CHALET DRIVE EASTMOBILE, AL 36608 |
| Principal Address ZIP Code: | 36608 |
| Authorized Capital: | 1,000 |
Activities
MEDICAL PRACTICE/SPECIALIZING IN PSYCHIATRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063913630 | 2018-02-28 | 2019-06-06 | 3209 MIDTOWN PARK S, MOBILE, AL, 366064126, US | 3209 MIDTOWN PARK S, MOBILE, AL, 366064126, US | |||||||||||||||
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| Phone | +1 251-525-9090 |
| Fax | 2515259091 |
Authorized person
| Name | MARK A HAYGOOD |
| Role | PRESIDENT |
| Phone | 2513806241 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HAYGOOD, MARK A | Agent | 1104 CHALET DRIVE EASTMOBILE, AL 36608 |
| Name | Role | Address |
|---|---|---|
| HAYGOOD, MARK A | Director | 1104 CHALET DRIVE EASTMOBILE, AL 36608 |
| Name | Role | Address |
|---|---|---|
| JUSTICE, SHIRLEY M | Incorporator | ONE ST. LOUIS CENTRE, SUITE 1000MOBILE, AL 36602-3960 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
