| Name: | Alabama Family Medicine, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 30 Sep 1992 (32 years ago) (Companies founded in September 1992) |
| Date of dissolution: | 15 Jul 2023 |
| Entity Number: | 000-152-419 |
| Register Number: | 000152419 |
| ZIP code: | 35007 (Companies in Shelby, 35007) |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Principal Address: | ALABASTER, AL |
| Registered Office Street Address: | 615 1ST STREET NORTHALABASTER, AL 35007 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
PRACTICE MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043340284 | 2007-03-06 | 2020-08-22 | 300 1ST ST N, SUITE C, ALABASTER, AL, 350078764, US | 300 1ST ST N, SUITE C, ALABASTER, AL, 350078764, US | |||||||||||||||||||||||||||
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| Phone | +1 205-663-5990 |
| Fax | 2056635440 |
Authorized person
| Name | DR. BRYAN A MCCLELLAND |
| Role | PRESIDENT |
| Phone | 2056635990 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 00008566 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
| License Number | 00008566 |
| State | AL |
| Is Primary | No |
| Name | Role |
|---|---|
| MCCLELLAND, BRYAN A | Incorporator |
| Name | Role |
|---|---|
| MCCLELLAND, BRYAN A | Agent |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
