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Alabama Neurological Surgery & Spine, P.C.

Details

Name: Alabama Neurological Surgery & Spine, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 15 Sep 2022 (2 years ago)
Entity Number: 001-040-012
Register Number: 001040012
County: Jefferson
Place of Formation: Alabama
Principal Address: 3535 Grandview Parkway, Suite 150Birmingham, AL 35243
Principal Address ZIP Code: 35243
Authorized Capital: 5000
Paid Share Capital: 1.00

Activities To engage in rendering professional services within the practice of medicine.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528782232 2022-09-27 2022-12-16 3535 GRANDVIEW PKWY STE 150, BIRMINGHAM, AL, 352432027, US 3535 GRANDVIEW PKWY STE 150, BIRMINGHAM, AL, 352432027, US

Contacts

Phone +1 205-250-6805

Authorized person

Name DR. BLAKE ELIOTT PEARSON
Role PHYSICIAN
Phone 2052135381

Taxonomy

Taxonomy Code 207T00000X - Neurological Surgery Physician
Is Primary Yes

Agent

Name Role Address
Pearson, Blake E M.D. Agent 3535 Grandview Parkway, Suite 150Birmingham, AL 35243

Incorporator

Name Role Address
Pearson, Blake E M.D. Incorporator 3535 Grandview Parkway, Suite 150Birmingham, AL 35243

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State