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Charles W. Nolen, Jr., M.D., P.C.

Details

Name: Charles W. Nolen, Jr., M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 03 Jan 1994 (31 years ago) (Companies founded in January 1994)
Entity Number: 000-161-019
Register Number: 000161019
ZIP code: 35555 (Companies in Fayette, 35555)
County: Fayette
Place of Formation: Fayette County
Principal Address: FAYETTE, AL
Registered Office Street Address: 1705 FIRST WAY NWFAYETTE, AL 35555
Authorized Capital: $5,000

Activities PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891842514 2007-01-04 2020-08-22 1705 1ST WAY NW, P.O. BOX 190, FAYETTE, AL, 355551307, US 1705 1ST WAY NW, FAYETTE, AL, 355551307, US

Contacts

Phone +1 205-932-7821
Fax 2059327684

Authorized person

Name DR. CHARLES W. NOLEN, JR.
Role OWNER
Phone 2059327821

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number 14531
State AL
Is Primary Yes

Agent

Name Role
NOLEN, CHARLES W JR MD Agent

Incorporator

Name Role
NOLEN, CHARLES W JR MD Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State