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Internal Medicine Associates of Tuscaloosa, P.C.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
SHAMBLIN, RICHARD W Agent 100 RICE MINE ROAD SUITE BTUSCALOOSA, AL 35406

Incorporator

Name Role
MCCORMACK, RONALD A MD Incorporator

Events

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