| Name: | Eastern Shore Family Practice, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 14 Jun 1988 (36 years ago) (Companies founded in June 1988) |
| Date of dissolution: | 08 Mar 2019 |
| Entity Number: | 000-124-708 |
| Register Number: | 000124708 |
| ZIP code: | 36526 (Companies in Baldwin, 36526) |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | DAPHNE, AL |
| Registered Office Street Address: | 1 EASTWOOD PARKDAPHNE, AL 36526 |
| Authorized Capital: | $10,000 |
| Paid Share Capital: | $1,000 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033322854 | 2007-05-08 | 2020-08-22 | 27961 US HIGHWAY 98, SUITE 14, DAPHNE, AL, 365264702, US | 27961 US HIGHWAY 98, SUITE 14, DAPHNE, AL, 365264702, US | |||||||||||||
|
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| Phone | +1 251-626-1175 |
Authorized person
| Name | DR. JAMES GRANT BRUMMETT |
| Role | PRESIDENT |
| Phone | 2516261175 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BRUMMETT, J GRANT | Agent |
| Name | Role |
|---|---|
| BRUMMETT, J GRANT | Incorporator |
| DAVIS, HENRY H III | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
