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Selma Medical Associates, P.C.

Details

Name: Selma Medical Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 27 Dec 1988 (36 years ago)
Entity Number: 000-127-852
Register Number: 000127852
County: Dallas
Place of Formation: Dallas County
Principal Address: SELMA, AL
Registered Office Street Address: 901 MEDICAL CENTER PKWYSELMA, AL 36701
Registered Office Street Address ZIP Code: 36701
Authorized Capital: $2,000

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033227152 2006-08-28 2020-08-22 901 MEDICAL CENTER PKWY, SELMA, AL, 367016746, US 901 MEDICAL CENTER PKWY, SELMA, AL, 367016746, US

Contacts

Phone +1 334-875-2640
Fax 3348752645

Authorized person

Name MRS. ALICE A KING
Role OFFICE MANAGER
Phone 3348752640

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Incorporator

Name Role
HOWELL, JULIAN P JR MD Incorporator
KNIGHT, NICHOLAS A MD Incorporator
BRIGNAC, RAYMOND N MD Incorporator

Agent

Name Role Address
HOWELL, JULIAN P JR Agent 1013 MEDICAL CENTER PKWYSELMA, AL

Events

Event Date Event Type Old Value New Value
1988-12-30 Name Merged No data Julian P. Howell Jr., M.D., P.A.
1988-12-30 Name Merged No data Raymond N. Brignac, M.D., P.C.
1988-12-30 Name Merged No data Nicholas A. Knight, M.D., P.A.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State