| Name: | Pulmonary Medicine Associates, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 10 Jan 1995 (30 years ago) |
| Entity Number: | 000-169-231 |
| Register Number: | 000169231 |
| County: | Jefferson |
| Place of Formation: | Shelby County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 129 STEVENS HILL CIRCLEBIRMINGHAM, AL 35244 |
| Registered Office Street Address ZIP Code: | 35244 |
| Authorized Capital: | $500 |
| Paid Share Capital: | ---- |
Activities
PROFESSION OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174790869 | 2008-05-12 | 2008-05-12 | 1022 1ST STREET NORTH, SUITE 501, ALABASTER, AL, 35007, US | 1022 1ST ST N STE 501, ALABASTER, AL, 350078718, US | |||||||||||||||||||||
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| Phone | +1 205-620-0359 |
| Fax | 2056209686 |
Authorized person
| Name | MICHAEL CONNOLLY |
| Role | PRESIDENT |
| Phone | 2056200359 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529700450 |
| State | AL |
| Name | Role |
|---|---|
| CONNOLLY, MICHAEL G JR | Incorporator |
| Name | Role |
|---|---|
| CONNOLLY, MICHAEL G JR | Agent |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1996-12-26 | Capital Change | $100 Authorized ---- Paid In | $500 Authorized ---- Paid In |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
