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DECATUR EMERGENCY PHYSICIANS, INC.

Details

Name: DECATUR EMERGENCY PHYSICIANS, INC.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 10 Mar 2011 (14 years ago)
Date of dissolution: 01 Mar 2016
Entity Number: 000-005-571
Register Number: 000005571
County: Dallas
Place of Formation: Dallas County
Registered Office Street Address: 1514 MOORES FERRY ROADSELMA, AL 36701
Registered Office Street Address ZIP Code: 36701
Authorized Capital: 100 @ $10.00PV

Activities PROVIDE EMERGENCY MEDICAL SERVICES/PERSONNEL IN MEDICAL FACILITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942509914 2011-03-16 2011-03-16 1874 BELTLINE RD SW, DECATUR, AL, 356015514, US 1874 BELTLINE RD SW, DECATUR, AL, 356015514, US

Contacts

Phone +1 256-301-3413

Authorized person

Name MR. EMERY HICKS
Role MANAGER
Phone 3343221202

Taxonomy

Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary Yes

Director

Name Role Address
HICKS, P ALAN SR Director 1514 MOORES FERRY ROADSELMA, AL 36701
HICKS, AVEREE A Director 1514 MOORES FERRY ROADSELMA, AL 36701

Agent

Name Role Address
HICKS, P A SR Agent 1514 MOORES FERRY ROADSELMA, AL 36701

Incorporator

Name Role Address
HICKS, P A SR Incorporator 1514 MOORES FERRY ROADSELMA, AL 36701
HICKS, AVEREE A Incorporator 1514 MOORES FERRY ROADSELMA, AL 36701

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State