Name: | Southern Periodontics II, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 01 Jun 2018 (6 years ago) (Companies founded in June 2018) |
Entity Number: | 000-520-395 |
Register Number: | 000520395 |
ZIP code: | 35901 (Companies in Etowah, 35901) |
County: | Etowah |
Place of Formation: | Etowah County |
Principal Address: | 427 SOUTH 4TH STREETGADSDEN, AL 35901 |
Authorized Capital: | 1000 @ $0.01/PV |
Activities
PROVIDE PROFESSIONAL DENTAL SERVICES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1861986622 | 2018-06-15 | 2018-06-15 | 1023 OXMOOR RD, HOMEWOOD, AL, 352095317, US | 1023 OXMOOR RD, HOMEWOOD, AL, 352095317, US | |||||||||||||||||
|
Phone | +1 256-467-3638 |
Authorized person
Name | DR. COTY HULGAN |
Role | PRESIDENT |
Phone | 2564673638 |
Taxonomy
Taxonomy Code | 1223P0300X - Periodontist |
License Number | 6124 |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
HULGAN, COTY A | Agent | 427 SOUTH 4TH STREETGADSDEN, AL 35901 |
Name | Role | Address |
---|---|---|
HULGAN, COTY A | Director | 427 SOUTH 4TH STREETGADSDEN, AL 35901 |
Name | Role | Address |
---|---|---|
ANDERSON, BRAD S | Incorporator | 1819 5TH AVENUE NORTH, SUITE 1000BIRMINGHAM, AL 35203-1112 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State