| Name: | Surgery South, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 14 Sep 1988 (36 years ago) |
| Entity Number: | 000-126-292 |
| Register Number: | 000126292 |
| Historical Names: |
Marshall County Surgical Associates, P.C.
Bessemer Surgical Associates, P.C. |
| ZIP code: | 35976 |
| County: | Marshall |
| Place of Formation: | Marshall County |
| Principal Address: | GUNTERSVILLE, AL |
| Registered Office Street Address: | 2308 HOMER CLAYTON DRGUNTERSVILLE, AL 35976 |
| Authorized Capital: | $10,000 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437338886 | 2007-11-01 | 2019-10-24 | 975 9TH AVE SW, SUITE 200, BESSEMER, AL, 350227837, US | 985 9TH AVE SW STE 507, BESSEMER, AL, 350227814, US | |||||||||||||||||||||||||||||||
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| Phone | +1 205-481-7485 |
| Fax | 2054817494 |
Authorized person
| Name | MS. KATHERINE SHUNNARAH |
| Role | OFFICE MANAGER |
| Phone | 2054817485 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| License Number | 13626 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529901150 |
| State | AL |
| Issuer | RAILROAD MEDICARE |
| Number | CG7061 |
| State | AL |
| Name | Role |
|---|---|
| CHRISTOPHER, DOUGLAS GEORGE MD | Agent |
| Name | Role |
|---|---|
| CHRISTOPHER, DOUGLAS GEORGE | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1992-06-03 | Name Change | Bessemer Surgical Associates, P.C. | Surgery South, P.C. |
| 1990-01-05 | Name Change | Marshall County Surgical Associates, P.C. | Bessemer Surgical Associates, P.C. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
