| Name: | Cullman Medical & Pediatric Associates, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 02 Mar 1992 (33 years ago) |
| Date of dissolution: | 22 Mar 2023 |
| Entity Number: | 000-148-160 |
| Register Number: | 000148160 |
| Historical Names: |
Mark K. Addison, M.D., P.C.
|
| County: | Cullman |
| Place of Formation: | Cullman County |
| Registered Office Street Address: | 205 4TH AVENUE NE SUITE ACULLMAN, AL 35055 |
| Registered Office Street Address ZIP Code: | 35055 |
| Authorized Capital: | $5,000 |
Activities
PRACTICE MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134211493 | 2006-09-28 | 2007-10-18 | 1948 AL HIGHWAY 157, SUITE 330, CULLMAN, AL, 350580642, US | 1948 AL HIGHWAY 157, SUITE 330, CULLMAN, AL, 350580642, US | |||||||||||||||||||
|
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| Phone | +1 256-739-3838 |
| Fax | 2567398350 |
Authorized person
| Name | MARK K. ADDISON |
| Role | PRESIDENT |
| Phone | 2567393838 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 13608 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| ADDISON, MARK K MD | Agent |
| Name | Role | Address |
|---|---|---|
| LEVITT, RONALD A | Incorporator | PO BOX 55727BIRMINGHAM, AL 35255-5727 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1997-01-14 | Name Change | Mark K. Addison, M.D., P.C. | Cullman Medical & Pediatric Associates, P.C. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
