Search icon

Anniston Family Practice, P.C.

Details

Name: Anniston Family Practice, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 01 Jul 1986 (38 years ago) (Companies founded in July 1986)
Date of dissolution: 05 Jul 2017
Entity Number: 000-111-409
Register Number: 000111409
ZIP code: 36250 (Companies in Calhoun, 36250)
County: Calhoun
Place of Formation: Calhoun County
Principal Address: ALEXANDRIA, AL
Registered Office Street Address: #1 PATTY WAY DRALEXANDRIA, AL 36250
Authorized Capital: $10,000
Paid Share Capital: $5,000

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437135209 2005-12-22 2020-08-22 400 E 8TH ST, ANNISTON, AL, 362075754, US 400 E 8TH ST, ANNISTON, AL, 362075754, US

Contacts

Phone +1 256-237-8527
Fax 2562370208

Authorized person

Name DR. NELSON W COOK
Role DIRECTOR
Phone 2562378527

Taxonomy

Taxonomy Code 305R00000X - Preferred Provider Organization
State AL
Is Primary Yes

Agent

Name Role
CANUP, C NEAL MD Agent

Incorporator

Name Role
JOHNSON, DAVID L MD Incorporator
JONES, GREG L MD Incorporator
CANUP, C NEAL MD Incorporator
HOWELL, PHD, JOSEPH B II Incorporator

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State