| Name: | Coosa River Dermatology, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 27 Nov 2023 (a year ago) |
| Entity Number: | 001-109-466 |
| Register Number: | 001109466 |
| County: | Jefferson |
| Place of Formation: | Alabama |
| Principal Address: | 4268 Cahaba Heights Court, Ste. 154Vestavia Hills, AL 35243 |
| Principal Address ZIP Code: | 35243 |
| Authorized Capital: | 1000 |
| Paid Share Capital: | 1.00 |
Activities
To engage in any lawful business activity.
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447003579 | 2024-04-09 | 2024-04-09 | PO BOX 932, TRUSSVILLE, AL, 351730932, US | 1242 MARTIN ST S STE B, PELL CITY, AL, 351282310, US | |||||||||||||
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| Phone | +1 205-514-1664 |
Authorized person
| Name | KELSEY REAL KENNEDY |
| Role | PRESIDENT/CEO |
| Phone | 2055141664 |
Taxonomy
| Taxonomy Code | 207ND0101X - MOHS-Micrographic Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Smith, Patrick F | Agent | 1550 West 2nd Street, Ste. A4Gulf Shores, AL 36542 |
| Name | Role | Address |
|---|---|---|
| Smith, Patrick F | Incorporator | 1550 West 2nd Street, Ste. A4Gulf Shores, AL 36542 |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
