| Name: | Charles A. Wood, M.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 27 Feb 2002 (23 years ago) |
| Date of dissolution: | 28 Dec 2020 |
| Entity Number: | 000-221-431 |
| Register Number: | 000221431 |
| Historical Names: |
Ozark Internal Medicine and Pediatrics, P.C.
|
| ZIP code: | 36360 |
| County: | Dale |
| Place of Formation: | Dale County |
| Principal Address: | OZARK, AL |
| Registered Office Street Address: | 1194 E ANDREWS AVEOZARK, AL 36360 |
| Authorized Capital: | $1,200 |
Activities
PRACTICE INTERNAL MEDICINE/PEDIATRICS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679738207 | 2008-07-23 | 2008-07-23 | 1350 HIGHWAY 231 S, SUITE A, TROY, AL, 360813058, US | 1350 HIGHWAY 231 S, SUITE A, TROY, AL, 360813058, US | |||||||||||||||||||
|
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| Phone | +1 334-566-0546 |
| Fax | 3345663768 |
Authorized person
| Name | DR. CHARLES A WOOD JR. |
| Role | PRESIDENT |
| Phone | 3345660546 |
Taxonomy
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| License Number | 22881 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| WOOD, CHARLES ANTHONY | Agent |
| Name | Role |
|---|---|
| WOOD, CHARLES ANTHONY | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2008-04-04 | Name Change | Ozark Internal Medicine and Pediatrics, P.C. | Charles A. Wood, M.D., P.C. |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
