| Name: | East Alabama Internal Medicine, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 16 Dec 1993 (31 years ago) (Companies founded in December 1993) |
| Date of dissolution: | 03 Jan 2012 |
| Entity Number: | 000-160-833 |
| Register Number: | 000160833 |
| ZIP code: | 36802 (Companies in Lee, 36802) |
| County: | Lee |
| Place of Formation: | Lee County |
| Principal Address: | OPELIKA, AL |
| Registered Office Street Address: | 1995 PEPPERELL PKWY STE 6OPELIKA, AL 36802 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | ---- |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285761353 | 2007-02-27 | 2020-08-22 | 1995 PEPPERELL PKWY, SUITE #3, OPELIKA, AL, 368015460, US | 1995 PEPPERELL PKWY, SUITE #3, OPELIKA, AL, 368015460, US | |||||||||||||||||||
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| Phone | +1 334-749-4724 |
| Fax | 3347497003 |
Authorized person
| Name | DR. PATRICIA A WADE |
| Role | PHYSICIAN |
| Phone | 3347494724 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 16363 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| WADE, PATRICIA MD | Agent |
| Name | Role |
|---|---|
| MITCHELL, BETH ANN MD | Incorporator |
| WADE, PATRICIA MD | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
