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Family Medical Center - Thomasville, P.C.

Details

Name: Family Medical Center - Thomasville, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 25 Jul 1991 (33 years ago) (Companies founded in July 1991)
Entity Number: 000-144-274
Register Number: 000144274
ZIP code: 36784 (Companies in Clarke, 36784)
County: Clarke
Place of Formation: Clarke County
Principal Address: THOMASVILLE, AL
Registered Office Street Address: #2 MOSLEY DRIVETHOMASVILLE, AL 36784
Authorized Capital: $1,000
Paid Share Capital: ----

Activities PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316041478 2006-09-11 2020-08-22 1415 MOSLEY DRIVE, THOMASVILLE, AL, 36784, US 1415 MOSLEY DRIVE, THOMASVILLE, AL, 36784, US

Contacts

Phone +1 334-636-9613
Fax 3346369676

Authorized person

Name MRS. JOAN L HARE
Role OFFICE MANAGER
Phone 3346369613

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY MEDICAL CENTER - THOMASVILLE, P.C. N/C PROFIT SHARING PLAN & TRUST 2023 631047919 2024-03-04 FAMILY MEDICAL CENTER-THOMASVILLE, P.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-12-15
Business code 621111
Sponsor’s telephone number 3346369613
Plan sponsor’s address 1415 MOSLEY DRIVE, THOMASVILLE, AL, 36784
FAMILY MEDICAL CENTER - THOMASVILLE, P.C. N/C PROFIT SHARING PLAN & TRUST 2022 631047919 2023-02-13 FAMILY MEDICAL CENTER-THOMASVILLE, P.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-12-15
Business code 621111
Sponsor’s telephone number 3346369613
Plan sponsor’s address 1415 MOSLEY DRIVE, THOMASVILLE, AL, 36784
FAMILY MEDICAL CENTER - THOMASVILLE, P.C. N/C PROFIT SHARING PLAN & TRUST 2021 631047919 2022-01-24 FAMILY MEDICAL CENTER-THOMASVILLE, P.C. 12
Three-digit plan number (PN) 002
Effective date of plan 1993-12-15
Business code 621111
Sponsor’s telephone number 3346369613
Plan sponsor’s address 1415 MOSLEY DRIVE, THOMASVILLE, AL, 36784
FAMILY MEDICAL CENTER - THOMASVILLE, P.C. N/C PROFIT SHARING PLAN & TRUST 2021 631047919 2022-02-21 FAMILY MEDICAL CENTER-THOMASVILLE, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-12-15
Business code 621111
Sponsor’s telephone number 3346369613
Plan sponsor’s address 1415 MOSLEY DRIVE, THOMASVILLE, AL, 36784
FAMILY MEDICAL CENTER - THOMASVILLE, P.C. N/C PROFIT SHARING PLAN & TRUST 2020 631047919 2021-02-09 FAMILY MEDICAL CENTER-THOMASVILLE, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-12-15
Business code 621111
Sponsor’s telephone number 3346369613
Plan sponsor’s address 1415 MOSLEY DRIVE, THOMASVILLE, AL, 36784
FAMILY MEDICAL CENTER - THOMASVILLE, P.C. N/C PROFIT SHARING PLAN & TRUST 2019 631047919 2020-01-23 FAMILY MEDICAL CENTER-THOMASVILLE, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-12-15
Business code 621111
Sponsor’s telephone number 3346369613
Plan sponsor’s address 1415 MOSLEY DRIVE, THOMASVILLE, AL, 36784

Signature of

Role Plan administrator
Date 2020-01-23
Name of individual signing FRANK L. DOZIER
FAMILY MEDICAL CENTER - THOMASVILLE, P.C. N/C PROFIT SHARING PLAN & TRUST 2018 631047919 2019-02-25 FAMILY MEDICAL CENTER-THOMASVILLE, P.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-12-15
Business code 621111
Sponsor’s telephone number 3346369613
Plan sponsor’s address 1415 MOSLEY DRIVE, THOMASVILLE, AL, 36784

Signature of

Role Plan administrator
Date 2019-02-25
Name of individual signing FRANK L. DOZIER
FAMILY MEDICAL CENTER - THOMASVILLE, P.C. N/C PROFIT SHARING PLAN & TRUST 2017 631047919 2018-04-19 FAMILY MEDICAL CENTER-THOMASVILLE, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-12-15
Business code 621111
Sponsor’s telephone number 3346369613
Plan sponsor’s address 1415 MOSLEY DRIVE, THOMASVILLE, AL, 36784

Signature of

Role Plan administrator
Date 2018-04-19
Name of individual signing FRANK L. DOZIER
FAMILY MEDICAL CENTER - THOMASVILLE, P.C. N/C PROFIT SHARING PLAN & TRUST 2016 631047919 2017-01-26 FAMILY MEDICAL CENTER-THOMASVILLE, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-12-15
Business code 621111
Sponsor’s telephone number 3346369613
Plan sponsor’s address 1415 MOSLEY DRIVE, THOMASVILLE, AL, 36784

Signature of

Role Plan administrator
Date 2017-01-26
Name of individual signing FRANK L. DOZIER
FAMILY MEDICAL CENTER - THOMASVILLE, P.C. N/C PROFIT SHARING PLAN & TRUST 2015 631047919 2016-04-11 FAMILY MEDICAL CENTER-THOMASVILLE, P.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-12-15
Business code 621111
Sponsor’s telephone number 3346369613
Plan sponsor’s address 1415 MOSLEY DRIVE, THOMASVILLE, AL, 36784

Signature of

Role Plan administrator
Date 2016-04-11
Name of individual signing DR. DOZIER

Agent

Name Role
DOZIER, FRANK L MD Agent

Incorporator

Name Role
DOZIER, FRANK L MD Incorporator
DOZIER, DAVETA B MD Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State