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Edward H. Fisher, III, M.D., P.C.

Details

Name: Edward H. Fisher, III, M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 30 Jan 1995 (30 years ago) (Companies founded in January 1995)
Date of dissolution: 08 May 2017
Entity Number: 000-169-594
Register Number: 000169594
ZIP code: 35653 (Companies in Franklin, 35653)
County: Franklin
Place of Formation: Franklin County
Principal Address: RUSSELLVILLE, AL
Registered Office Street Address: 723 HWY 43 BYPASS NE STE 2RUSSELLVILLE, AL 35653
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578746244 2007-12-17 2007-12-17 PO BOX 759, RUSSELLVILLE, AL, 356530759, US 715 GANDY ST NE, SUITE B, RUSSELLVILLE, AL, 356531922, US

Contacts

Phone +1 256-332-1800
Fax 2563321815

Authorized person

Name DR. EDWARD H FISHER III
Role DR
Phone 2563321800

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number MD 18628
State AL
Is Primary Yes

Agent

Name Role
FISHER, EDWARD H III Agent

Incorporator

Name Role
FISHER, EDWARD H III Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State