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 |
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 | |||||||||||||||
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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 |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
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WIREGRASS WOUND & AMPUTATION PREVENTION CENTER, LLC 401(K) PROFIT SHARING PLAN | 2023 | 863437270 | 2024-07-26 | WIREGRASS WOUND & AMPUTATION PREVENTION CENTER, LLC | 5 | |||||||||||||
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WIREGRASS WOUND & AMPUTATION PREVENTION CENTER, LLC CASH BALANCE PLAN | 2023 | 863437270 | 2024-07-26 | WIREGRASS WOUND & AMPUTATION PREVENTION CENTER, LLC | 3 | |||||||||||||
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WIREGRASS WOUND & AMPUTATION PREVENTION CENTER, LLC 401(K) PROFIT SHARING PLAN | 2022 | 863437270 | 2023-10-12 | WIREGRASS WOUND & AMPUTATION PREVENTION CENTER, LLC | 5 | |||||||||||||
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Name | Role |
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Duke, J. Douglas II | Agent |
Name | Role | Address |
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JOHNSTON, G. DAVID | Organizer | 291 NORTH OATES STREETDOTHAN, AL 36303 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State