Name: | Drs. Feagin, Gee, and Dahl, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 07 Oct 1969 (55 years ago) |
Entity Number: | 000-005-733 |
Register Number: | 000005733 |
Historical Names: |
Drs. Dixon & Lawaczeck, P.A.
Drs. Dixon, Lawaczeck and McKinnon, P.A. Drs. Lawaczeck & McKinnon, P.C. Drs. Lawaczeck, McKinnon, Feagin & Carter, P.C. Drs. Lawaczeck, McKinnon, Feagin, Carter & Gee, P.C. Drs. Lawaczeck, McKinnon, Feagin, Carter, Gee & Dahl, P.C. |
County: | Jefferson |
Place of Formation: | Jefferson County |
Registered Office Street Address: | 1009 MONTGOMERY HWY STE 200BIRMINGHAM, AL 35216 |
Registered Office Street Address ZIP Code: | 35216 |
Authorized Capital: | $2,000 |
Paid Share Capital: | $500 |
Activities
OPHTHALMOLOGY
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1104939008 | 2006-08-16 | 2023-08-15 | 1009 MONTGOMERY HWY, SUITE 200, BIRMINGHAM, AL, 352162831, US | 1009 MONTGOMERY HWY, SUITE 200, BIRMINGHAM, AL, 352162831, US | |||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 205-397-9400 |
Fax | 2053979455 |
Authorized person
Name | ANDREA BLEDSOE |
Role | MANAGER |
Phone | 2053979406 |
Taxonomy
Taxonomy Code | 207W00000X - Ophthalmology Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 529102180 |
State | AL |
Issuer | MEDICAID |
Number | 000038441 |
State | AL |
Issuer | MEDICAID |
Number | 000003580 |
State | AL |
Issuer | MEDICAID |
Number | 000004239 |
State | AL |
Issuer | MEDICAID |
Number | 000087072 |
State | AL |
Name | Role |
---|---|
LAWACZECK, ELMAR | Agent |
Name | Role |
---|---|
LAWACZECK, ELMAR MD | Incorporator |
MCKINNON, THOMAS D MD | Incorporator |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
2022-08-04 | Name Change | Drs. Lawaczeck, McKinnon, Feagin, Carter, Gee & Dahl, P.C. | Drs. Feagin, Gee, and Dahl, P.C. |
2017-12-21 | Name Change | Drs. Lawaczeck, McKinnon, Feagin, Carter & Gee, P.C. | Drs. Lawaczeck, McKinnon, Feagin, Carter, Gee & Dahl, P.C. |
2010-10-06 | Name Change | Drs. Lawaczeck, McKinnon, Feagin & Carter, P.C. | Drs. Lawaczeck, McKinnon, Feagin, Carter & Gee, P.C. |
2000-10-02 | Name Change | Drs. Lawaczeck & McKinnon, P.C. | Drs. Lawaczeck, McKinnon, Feagin & Carter, P.C. |
1984-03-26 | Name Change | Drs. Dixon, Lawaczeck and McKinnon, P.A. | Drs. Lawaczeck & McKinnon, P.C. |
1975-03-03 | Name Change | Drs. Dixon & Lawaczeck, P.A. | Drs. Dixon, Lawaczeck and McKinnon, P.A. |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State