| Name: | Alabama Dermatology and Rejuvenation Center, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 12 May 2022 (3 years ago) (Companies founded in May 2022) |
| Entity Number: | 001-019-510 |
| Register Number: | 001019510 |
| ZIP code: | 35501 (Companies in Walker, 35501) |
| County: | Walker |
| Place of Formation: | Alabama |
| Principal Address: | 1100 College Hill RoadJasper, AL 35501 |
| Registered Office Street Address: | 1606 HIGHWAY 78 WESTJasper, AL 35503 |
| Registered Office Mailing Address: | 972 MONTCLAIR RD, SUITE 100BIRMINGHAM, AL 35213 |
| Authorized Capital: | 1000 |
| Paid Share Capital: | 1.00 |
Activities
To engage in rendering professional services within the practice of medicine.
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386381614 | 2022-05-18 | 2022-05-18 | 1606 HIGHWAY 78 W, JASPER, AL, 355013668, US | 1606 HIGHWAY 78 W, JASPER, AL, 355013668, US | |||||||||||||||
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| Phone | +1 205-295-9415 |
| Fax | 2052959418 |
Authorized person
| Name | DR. TONY ADAR |
| Role | PHYSICIAN |
| Phone | 9179020902 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Adar, Tony M.D. | Agent | 1100 College Hill RoadJasper, AL 35501 |
| Name | Role | Address |
|---|---|---|
| Adar, Tony M.D. | Incorporator | 1100 College Hill RoadJasper, AL 35501 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
