Search icon

Neurosurgery Shoals, Inc.

Details

Name: Neurosurgery Shoals, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 08 May 2018 (7 years ago)
Date of dissolution: 26 Jul 2019
Entity Number: 000-517-854
Register Number: 000517854
County: Lauderdale
Place of Formation: Lauderdale County
Registered Office Street Address: 426 DR HICKS BLVDFLORENCE, AL 35630
Registered Office Street Address ZIP Code: 35630
Authorized Capital: 1,000 @$1/PV

Activities MANAGE MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174014344 2018-05-23 2018-05-23 426 E DR HICKS BLVD, FLORENCE, AL, 356305763, US 426 E DR HICKS BLVD, FLORENCE, AL, 356305763, US

Contacts

Phone +1 256-764-7721

Authorized person

Name ROGER RAY
Role OWNER
Phone 2567647721

Taxonomy

Taxonomy Code 207T00000X - Neurological Surgery Physician
State AL
Is Primary Yes

Agent

Name Role Address
RAY, ROGER Agent 426 DR HICKS BLVDFLORENCE, AL 35630

Director

Name Role Address
RAY, ROGER Director 426 DR HICKS BLVDFLORENCE, AL 35630

Incorporator

Name Role Address
RAY, ROGER Incorporator 426 DR HICKS BLVDFLORENCE, AL 35630

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State