| Name: | Gill Family Medicine, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 04 Jan 1988 (37 years ago) |
| Entity Number: | 000-121-314 |
| Register Number: | 000121314 |
| Historical Names: |
Complete Family Care, M.D., P.C.
|
| County: | Morgan |
| Place of Formation: | Lawrence County |
| Principal Address: | MOULTON, AL |
| Registered Office Street Address: | 2422 DANVILLE RD SWDECATUR, AL 35603 |
| Registered Office Street Address ZIP Code: | 35603 |
| Authorized Capital: | $5,000 |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144574872 | 2012-11-02 | 2020-07-30 | PO BOX 5750, DECATUR, AL, 356010750, US | 2422 DANVILLE RD SW, SUITE E, DECATUR, AL, 356034220, US | |||||||||||||||
|
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| Phone | +1 256-355-9040 |
| Fax | 2563559048 |
Authorized person
| Name | DR. MARLIN D GILL |
| Role | PRESIDENT |
| Phone | 2563559040 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GILL FAMILY MEDICINE 401(K) PROFIT SHARING PLAN | 2023 | 630968329 | 2024-07-02 | GILL FAMILY MEDICINE, P.C. | 39 | |||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-07-02 |
| Name of individual signing | ELAINE GILL |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1991-03-22 |
| Business code | 621111 |
| Sponsor’s telephone number | 2563559040 |
| Plan sponsor’s address | PO BOX 5750, DECATUR, AL, 35601 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-05 |
| Name of individual signing | ELAINE GILL |
| Name | Role |
|---|---|
| GILL, MARLIN MD | Agent |
| Name | Role |
|---|---|
| GILLESPIE, NIXON MD | Incorporator |
| GILL, MARLIN MD | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1994-04-04 | Name Change | Complete Family Care, M.D., P.C. | Gill Family Medicine, P.C. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
