Name: | Internal Medicine Associates of Tuscaloosa, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 01 Aug 1985 (39 years ago) |
Entity Number: | 000-105-289 |
Register Number: | 000105289 |
Historical Names: |
Internal Medicine Associates of Tuscaloosa County, P.C.
|
County: | Tuscaloosa |
Place of Formation: | Tuscaloosa County |
Principal Address: | TUSCALOOSA, AL |
Registered Office Street Address: | 100 RICE MINE ROAD STE BTUSCALOOSA, AL 35406 |
Registered Office Street Address ZIP Code: | 35406 |
Authorized Capital: | $5,000 |
Paid Share Capital: | ---- |
Activities
INTERNAL MEDICINE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1598414880 | 2022-03-22 | 2022-03-22 | 100 RICE MINE RD N STE 100, TUSCALOOSA, AL, 354063905, US | 100 RICE MINE RD N STE 100, TUSCALOOSA, AL, 354063905, US | |||||||||||||||
|
Phone | +1 205-349-4200 |
Fax | 2053494285 |
Authorized person
Name | ROBIN MAE RICHARDS |
Role | SYSTEM ADMINISTRATOR |
Phone | 2053494200 |
Taxonomy
Taxonomy Code | 2084N0400X - Neurology Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SHAMBLIN, RICHARD W | Agent | 100 RICE MINE ROAD SUITE BTUSCALOOSA, AL 35406 |
Name | Role |
---|---|
MCCORMACK, RONALD A MD | Incorporator |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
1988-04-29 | Name Change | Internal Medicine Associates of Tuscaloosa County, P.C. | Internal Medicine Associates of Tuscaloosa, P.C. |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State