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Wiregrass Wound & Amputation Prevention Center LLC

Details

Name: Wiregrass Wound & Amputation Prevention Center LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 22 Apr 2021 (4 years ago) (Companies founded in April 2021)
Entity Number: 000-848-500
Register Number: 000848500
ZIP code: 36301 (Companies in Houston, 36301)
County: Houston
Place of Formation: Alabama
Registered Office Street Address: 2800 Ross Clark Circle, Suite 2Dothan, AL 36301

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730756248 2021-06-04 2021-06-07 2800 ROSS CLARK CIR STE 2, DOTHAN, AL, 363019917, US 2800 ROSS CLARK CIR STE 2, DOTHAN, AL, 363019917, US

Contacts

Phone +1 334-305-2085
Phone +1 334-350-2085

Authorized person

Name DR. DOUG DUKE II
Role PRESIDENT
Phone 3343052085

Taxonomy

Taxonomy Code 208600000X - Surgery Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WIREGRASS WOUND & AMPUTATION PREVENTION CENTER, LLC 401(K) PROFIT SHARING PLAN 2023 863437270 2024-07-26 WIREGRASS WOUND & AMPUTATION PREVENTION CENTER, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 3343052085
Plan sponsor’s address 2800 ROSS CLARK CIRCLE, SUITE 2, DOTHAN, AL, 36301
WIREGRASS WOUND & AMPUTATION PREVENTION CENTER, LLC CASH BALANCE PLAN 2023 863437270 2024-07-26 WIREGRASS WOUND & AMPUTATION PREVENTION CENTER, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 3343052085
Plan sponsor’s address 2800 ROSS CLARK CIRCLE SUITE 2, DOTHAN, AL, 36301
WIREGRASS WOUND & AMPUTATION PREVENTION CENTER, LLC 401(K) PROFIT SHARING PLAN 2022 863437270 2023-10-12 WIREGRASS WOUND & AMPUTATION PREVENTION CENTER, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 3343052085
Plan sponsor’s address 2800 ROSS CLARK CIRCLE, SUITE 2, DOTHAN, AL, 36301

Agent

Name Role
Duke, J. Douglas II Agent

Organizer

Name Role Address
JOHNSTON, G. DAVID Organizer 291 NORTH OATES STREETDOTHAN, AL 36303

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State