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Decatur Gastroenterology Associates, P.C.

Details

Name: Decatur Gastroenterology Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 03 Jul 1989 (35 years ago) (Companies founded in July 1989)
Date of dissolution: 26 Jan 2022
Entity Number: 000-131-615
Register Number: 000131615
ZIP code: 35601 (Companies in Morgan, 35601)
County: Morgan
Place of Formation: Morgan County
Principal Address: DECATUR, AL
Registered Office Street Address: 1103 15TH AVENUE SEDECATUR, AL 35601
Authorized Capital: $5,000

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023044328 2006-06-25 2010-10-19 1103 15TH AVE SE, DECATUR, AL, 356013345, US 1103 15TH AVE SE, DECATUR, AL, 356013345, US

Contacts

Phone +1 256-350-0153
Fax 2563500156

Authorized person

Name MICHAEL MJ WANG
Role PARTNER
Phone 2563500154

Taxonomy

Taxonomy Code 207RG0100X - Gastroenterology Physician
State AL
Is Primary Yes

Incorporator

Name Role
WANG, MICHAEL M J MD Incorporator

Agent

Name Role Address
YOUSUF, KHURSHID Agent 1103 15TH AVENUE S.E.DECATUR, AL 35601

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State