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
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 | |||||||||||||||||||
|
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 |
Name | Role |
---|---|
NOLEN, CHARLES W JR MD | Agent |
Name | Role |
---|---|
NOLEN, CHARLES W JR MD | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State