| Name: | W. David Spruill, M.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 26 Jul 1982 (42 years ago) (Companies founded in July 1982) |
| Date of dissolution: | 20 Jun 2012 |
| Entity Number: | 000-088-060 |
| Register Number: | 000088060 |
| ZIP code: | 35206 (Companies in Jefferson, 35206) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 7901 FIRST AVE S SUITE 208BIRMINGHAM, AL 35206 |
| Authorized Capital: | $1,000 |
Activities
MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275622870 | 2006-10-12 | 2020-08-22 | 52 MEDICAL PARK DR E, SUITE 320, BIRMINGHAM, AL, 352353430, US | 52 MEDICAL PARK DR E, SUITE 320, BIRMINGHAM, AL, 352353430, US | |||||||||||||||||||||||
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| Phone | +1 205-838-3066 |
| Fax | 2058383704 |
Authorized person
| Name | LOUISE G KELLY |
| Role | OFFICE ADMINISTRATOR |
| Phone | 2058383066 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | 3914 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PERSONAL NPI |
| Number | 1881605343 |
| Name | Role |
|---|---|
| SPRUILL, W DAVID MD | Agent |
| Name | Role |
|---|---|
| SPRUILL, W DAVID MD | Incorporator |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
