| Name: | Thomas C. Peterson, M.D., P.A. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Association |
| Status: | Dissolved |
| Date of registration: | 31 May 1976 (48 years ago) (Companies founded in May 1976) |
| Date of dissolution: | 31 Jul 2014 |
| Entity Number: | 000-041-421 |
| Register Number: | 000041421 |
| ZIP code: | 35901 (Companies in Etowah, 35901) |
| County: | Etowah |
| Place of Formation: | Etowah County |
| Principal Address: | 407 SOUTH 4TH STREETGADSDEN, AL 35901 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912270521 | 2012-02-13 | 2012-02-13 | 407 S 4TH ST, GADSDEN, AL, 359015214, US | 407 S 4TH ST, GADSDEN, AL, 359015214, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 256-546-4236 |
| Fax | 2565464298 |
Authorized person
| Name | DR. THOMAS CHALMERS PETERSON |
| Role | PRESIDENT/OWNER |
| Phone | 2565464236 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| License Number | 3113 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| PETERSON, THOMAS C MD | Member |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
