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Clinton Plastic Surgery, L.L.C.

Details

Name: Clinton Plastic Surgery, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 04 Oct 2001 (23 years ago) (Companies founded in October 2001)
Entity Number: 000-678-150
Register Number: 000678150
ZIP code: 35223 (Companies in Jefferson, 35223)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 2850 CAHABA RDBIRMINGHAM, AL 35223

Activities PRACTICE MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689001067 2013-10-01 2014-01-16 7191 CAHABA VALLEY RD, 200, BIRMINGHAM, AL, 352426402, US 7191 CAHABA VALLEY RD, 200, BIRMINGHAM, AL, 352426402, US

Contacts

Phone +1 205-408-9787

Authorized person

Name DR. MICHAEL S CLINTON
Role OWNER
Phone 2054089787

Taxonomy

Taxonomy Code 2086S0122X - Plastic and Reconstructive Surgery Physician
License Number 10939
State AL
Is Primary Yes
Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
License Number 10939
State AL
Is Primary No

Agent

Name Role
CLINTON, MICHAEL S Agent

Member

Name Role
CLINTON, MICHAEL S Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State