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MICHAEL D. WILLIAMS, DO, L.L.C.

Details

Name: MICHAEL D. WILLIAMS, DO, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 02 May 2012 (13 years ago)
Date of dissolution: 11 Sep 2014
Entity Number: 000-053-986
Register Number: 000053986
County: Baldwin
Place of Formation: Baldwin County
Registered Office Street Address: 3817 GULF SHORES PARKWAY UNIT 7GULF SHORES, AL 36542
Registered Office Street Address ZIP Code: 36542

Activities PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760732028 2012-09-14 2012-09-14 3817 GULF SHORES PARKWAY, SUITE 7, GULF SHORES, AL, 365422781, US 3817 GULF SHORES PARKWAY, SUITE 7, GULF SHORES, AL, 365422781, US

Contacts

Phone +1 251-948-5101
Fax 2519485103

Authorized person

Name DR. MICHAEL D WILLIAMS
Role OWNER
Phone 2519485101

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number DO.426
State AL
Is Primary Yes

Agent

Name Role Address
WILLIAMS, MICHAEL D Agent 3985 PARKWOOD ROADBESSEMER, AL 35022

Organizer

Name Role Address
WILLIAMS, MICHAEL D Organizer 3985 PARKWOOD ROADBESSEMER, AL 35022

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State