Name: | HSV PLASTIC SURGERY PC |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 22 Mar 2021 (4 years ago) |
Entity Number: | 000-842-267 |
Register Number: | 000842267 |
County: | Madison |
Place of Formation: | Madison County |
Principal Address: | 805 MADISON STREET 1-DHUNTSVILLE, AL 35801 |
Principal Address ZIP Code: | 35801 |
Authorized Capital: | 2000 |
Activities
TO ENGAGE IN/CONDUCT/CARRY ON THE PRATICE OF PLASTIC SURGERY
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1457645095 | 2011-05-31 | 2022-04-11 | 805 MADISON ST SE, SUITE A, HUNTSVILLE, AL, 358014419, US | 805 MADISON ST SE, SUITE A, HUNTSVILLE, AL, 358014419, US | |||||||||||||||||
|
Phone | +1 256-551-2002 |
Authorized person
Name | PATRICK C WILSON |
Role | M.D./OWNER |
Phone | 2565512002 |
Taxonomy
Taxonomy Code | 2086S0122X - Plastic and Reconstructive Surgery Physician |
License Number | 30774 |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
WILSON, PATRICK | Agent | 805 MADISON STREET 1-DHUNTSVILLE, AL 35801 |
Name | Role | Address |
---|---|---|
WILSON, PATRICK | Incorporator | 805 MADISON STREET 1-DHUNTSVILLE, AL 35801 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State