Search icon

Cole Surgical Arts PC

Details

Name: Cole Surgical Arts PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 31 May 2018 (6 years ago)
Entity Number: 000-520-546
Register Number: 000520546
Place of Formation: DeKalb County
Principal Address: 1651 QUAIL HOLOW ROAD NWFORT PAYNE, AL
Authorized Capital: 10,000 @$NPV

Activities PROVIDE HEALTHCARE SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316421944 2018-09-19 2021-01-08 PO BOX 680379, FORT PAYNE, AL, 359681604, US 323 MEDICAL CENTER DR SW, FORT PAYNE, AL, 359683420, US

Contacts

Phone +1 256-273-4300
Fax 2569791017

Authorized person

Name RENEA HOLCOMB
Role OFFICE MANAGER
Phone 2562734300

Taxonomy

Taxonomy Code 208600000X - Surgery Physician
Is Primary Yes

Agent

Name Role Address
COLE, JEFFREY R Agent 1651 QUAIL HOLOW ROAD NWFORT PAYNE, AL

Director

Name Role Address
COLE, JEFFREY R Director 1651 QUAIL HOLOW ROAD NWFORT PAYNE, AL
COLE, ASHLEY R Director 1651 QUAIL HOLOW ROAD NWFORT PAYNE, AL

Incorporator

Name Role Address
MARRERO, DAVENPORT Incorporator 350 ELDRIDGE AVENUE STE 4ORANGE PARK, FL 32073

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State