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Southern Institute of Plastic Surgery, Inc.

Headquarter

Details

Name: Southern Institute of Plastic Surgery, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 27 Aug 2014 (10 years ago)
Entity Number: 000-316-874
Register Number: 000316874
ZIP code: 36303
County: Houston
Place of Formation: Houston County
Registered Office Street Address: 200 PARKWEST CIRCLE, SUITE 2DOTHAN, AL 36303
Authorized Capital: 1,200 @$1PV

Activities PRACTICE OF MEDICINE

Links between entities

Type Company Name Company Number State
Headquarter of Southern Institute of Plastic Surgery, Inc., FLORIDA F23000000850 FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154721983 2014-08-28 2015-04-01 2800 ROSS CLARK CIR, SUITE 2, DOTHAN, AL, 363012040, US 2800 ROSS CLARK CIR, SUITE 2, DOTHAN, AL, 363012040, US

Contacts

Phone +1 334-699-7477
Fax 3346997548

Authorized person

Name JEFFERY L WALDING
Role DIRECTOR
Phone 3346997477

Taxonomy

Taxonomy Code 208200000X - Plastic Surgery Physician
License Number 31063
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN INSTITUTE OF PLASTIC SURGERY, INC. 401K 2023 471696690 2024-10-15 SOUTHERN INSTITUTE OF PLASTIC SURGERY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3346997477
Plan sponsor’s address 2800 ROSS CLARK CIRCLE, SUITE 2, DOTHAN, AL, 36301
SOUTHERN INSTITUTE OF PLASTIC SURGERY, INC. 401K 2022 471696690 2023-10-11 SOUTHERN INSTITUTE OF PLASTIC SURGERY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3346997477
Plan sponsor’s address 2800 ROSS CLARK CIRCLE, SUITE 2, DOTHAN, AL, 36301
SOUTHERN INSTITUTE OF PLASTIC SURGERY, INC. 401K 2021 471696690 2022-10-08 SOUTHERN INSTITUTE OF PLASTIC SURGERY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3346997477
Plan sponsor’s address 2800 ROSS CLARK CIRCLE, SUITE 2, DOTHAN, AL, 36301
SOUTHERN INSTITUTE OF PLASTIC SURGERY, INC. 401K 2020 471696690 2021-10-13 SOUTHERN INSTITUTE OF PLASTIC SURGERY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3346997477
Plan sponsor’s address 3805 COUNTY ROAD 9, NEWTON, AL, 36352
SOUTHERN INSTITUTE OF PLASTIC SURGERY, INC. 401K 2019 471696690 2020-07-28 SOUTHERN INSTITUTE OF PLASTIC SURGERY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3346997477
Plan sponsor’s address 3805 COUNTY ROAD 9, NEWTON, AL, 36352
SOUTHERN INSTITUTE OF PLASTIC SURGERY, INC. 401K 2018 471696690 2019-07-16 SOUTHERN INSTITUTE OF PLASTIC SURGERY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3346997477
Plan sponsor’s address 3805 COUNTY ROAD 9, NEWTON, AL, 36352

Agent

Name Role Address
ARMSTRONG, BENJAMIN S Agent 200 GROVE PARK LN STE 670DOTHAN, AL 36305

Director

Name Role Address
WALDING, JEFFERY Director 106 MAYFIELD COURTDOTHAN, AL 36305

Incorporator

Name Role Address
ARMSTRONG, BENJAMIN S Incorporator 200 GROVE PARK LN STE 670DOTHAN, AL 36305

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State