| Name: | Davis Medical Group, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 26 Dec 1985 (39 years ago) (Companies founded in December 1985) |
| Date of dissolution: | 11 Dec 2019 |
| Entity Number: | 000-107-708 |
| Register Number: | 000107708 |
| ZIP code: | 35802 (Companies in Madison, 35802) |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 600 BOULEVARD SOUTH SUITE 103BIRMINGHAM, AL 35802 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $100 |
Activities
MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023007325 | 2005-10-19 | 2020-08-22 | 7850 MEMORIAL PKWY SW, HUNTSVILLE, AL, 358022224, US | 7850 MEMORIAL PKWY SW, HUNTSVILLE, AL, 358022224, US | |||||||||||||||||||
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| Phone | +1 256-882-0132 |
| Fax | 2568821461 |
Authorized person
| Name | DR. LARRY JAN DAVIS |
| Role | OWNER/PRESIDENT |
| Phone | 2568820132 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 00004217 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DAVIS, L J MD | Agent |
| Name | Role |
|---|---|
| DAVIS, L J MD | Incorporator |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
