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Madison Gynecology and Wellness, P.C.

Details

Name: Madison Gynecology and Wellness, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 15 Apr 2024 (7 months ago)
Entity Number: 001-131-358
Register Number: 001131358
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 121 FOXHOUND DRIVEMADISON, AL 35758
Registered Office Street Address ZIP Code: 35758
Authorized Capital: 1,000 @PV $0.01

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093540718 2024-09-03 2024-09-03 121 FOXHOUND DR, MADISON, AL, 357586881, US 3825 SULLIVAN ST STE 2, MADISON, AL, 357583147, US

Contacts

Phone +1 256-679-2749

Authorized person

Name ELEANOR LOUISE MURRAY
Role OWNER
Phone 2566792749

Taxonomy

Taxonomy Code 207VG0400X - Gynecology Physician
Is Primary Yes

Agent

Name Role
ELEANOR LOUISE MURRAY Agent

Incorporator

Name Role Address
RANDALL D. MCCLANAHAN Incorporator ONE FEDERAL PLACE 1819 FIFTH AVENUE NORTHMADISON, AL 35758

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State