| Name: | Michael A. McEwen, M.D., P.A. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Association |
| Status: | Dissolved |
| Date of registration: | 29 Jan 1982 (43 years ago) (Companies founded in January 1982) |
| Date of dissolution: | 21 Aug 2019 |
| Entity Number: | 000-064-576 |
| Register Number: | 000064576 |
| ZIP code: | 35903 (Companies in Etowah, 35903) |
| County: | Etowah |
| Place of Formation: | Etowah County |
| Principal Address: | 100 BAPTIST MEDICAL DRIVE STE 304GADSDEN, AL 35903 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558464008 | 2006-09-07 | 2020-08-22 | 5730 US HIGHWAY 431, ALBERTVILLE, AL, 359500234, US | 5730 US HIGHWAY 431, ALBERTVILLE, AL, 359500234, US | |||||||||||||||||||||||
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| Phone | +1 256-878-9231 |
Authorized person
| Name | DR. MICHAEL A MCEWEN |
| Role | PRESIDENT |
| Phone | 2564927158 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| License Number | 6989 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS-AL |
| Number | 05745 |
| State | AL |
| Name | Role |
|---|---|
| MCEWEN, MICHAEL A MD | Member |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
