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HSV PLASTIC SURGERY PC

Details

Name: HSV PLASTIC SURGERY PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 22 Mar 2021 (4 years ago) (Companies founded in March 2021)
Entity Number: 000-842-267
Register Number: 000842267
ZIP code: 35801 (Companies in Madison, 35801)
County: Madison
Place of Formation: Madison County
Principal Address: 805 MADISON STREET 1-DHUNTSVILLE, AL 35801
Authorized Capital: 2000

Activities TO ENGAGE IN/CONDUCT/CARRY ON THE PRATICE OF PLASTIC SURGERY

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
WILSON, PATRICK Agent 805 MADISON STREET 1-DHUNTSVILLE, AL 35801

Incorporator

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