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