| Name: | Moore Clinic for Wholeness in Health, P.A. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Association |
| Status: | Dissolved |
| Date of registration: | 29 Jan 1973 (52 years ago) |
| Date of dissolution: | 20 Jul 2011 |
| Entity Number: | 000-029-502 |
| Register Number: | 000029502 |
| Historical Names: |
Physicians Associates of Atmore, P.A.
|
| County: | Escambia |
| Place of Formation: | Escambia County |
| Principal Address: | 408 MEDICAL PARK DRIVEATMORE, AL 36502 |
| Principal Address ZIP Code: | 36502 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427035104 | 2005-12-23 | 2008-08-27 | PO BOX 70211, MOBILE, AL, 366701211, US | 408 MEDICAL PARK DR, ATMORE, AL, 365023016, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 251-368-2550 |
| Fax | 2514765460 |
| Phone | +1 251-476-5443 |
Authorized person
| Name | DR. I. HARRISON MOORE |
| Role | PRESIDENT/OWNER |
| Phone | 2513682550 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MAXWELL, B C MD | Member |
| WILLIAMSON, JOYCE N | Member |
| DEW, FRANCES | Member |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2007-04-27 | Name Change | Physicians Associates of Atmore, P.A. | Moore Clinic for Wholeness in Health, P.A. |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
