| 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 | |||||||||||||||||
|
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| 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
