| Name: | Dermatology and Skin Health of Dothan PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 03 Dec 2020 (4 years ago) |
| Entity Number: | 000-823-562 |
| Register Number: | 000823562 |
| ZIP code: | 36303 |
| County: | Houston |
| Place of Formation: | Houston County |
| Registered Office Street Address: | 291 NORTH OATES STREETDOTHAN, AL 36303 |
| Authorized Capital: | 1200@$1.00PV |
Activities
ANY & ALL THINGS NECESSARY IN CONDUCTING A PROFESSIONAL-COMPREHE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437825742 | 2021-08-17 | 2022-03-23 | 107 MEDICAL DRIVE, DOTHAN, AL, 36303, US | 107 MEDICAL DRIVE, DOTHAN, AL, 36303, US | |||||||||||||||||||||||
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| Phone | +1 334-500-3844 |
| Fax | 3348287547 |
Authorized person
| Name | AMANDA PITTS |
| Role | OFFICE MANAGER |
| Phone | 3348287546 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DERMATOLOGY AND SKIN HEALTH OF DOTHAN, P.C. 401(K) PROFIT SHARING PLAN | 2023 | 854203166 | 2024-10-02 | DERMATOLOGY AND SKIN HEALTH OF DOTHAN | 15 | |||||||||||||
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| DERMATOLOGY AND SKIN HEALTH OF DOTHAN, P.C. 401(K) PROFIT SHARING PLAN | 2022 | 854203166 | 2023-10-02 | DERMATOLOGY AND SKIN HEALTH OF DOTHAN | 15 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| TURNER, PAUL F JR | Agent | PO BOX 2246DOTHAN, AL 36303 |
| Name | Role | Address |
|---|---|---|
| TURNER, PAUL F JR | Incorporator | PO BOX 2246DOTHAN, AL 36303 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
