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Tuscaloosa Family Practice and Obstetrics, P.C.

Details

Name: Tuscaloosa Family Practice and Obstetrics, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 31 Jan 1995 (30 years ago)
Date of dissolution: 25 Oct 2012
Entity Number: 000-169-661
Register Number: 000169661
Historical Names: Cindy L. Dedmon, M.D., P.C.
Dedmon and Clark, P.C.
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Principal Address: TUSCALOOSA, AL
Registered Office Street Address: 701 UNIVERSITY BLVE EAST STE 905TUSCALOOSA, AL 35401
Registered Office Street Address ZIP Code: 35401
Authorized Capital: $5,000
Paid Share Capital: ----

Activities RENDERING PROFESSIONAL MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841366903 2006-11-28 2020-08-22 701 UNIVERSITY BLVD E, SUITE 507, TUSCALOOSA, AL, 354012086, US 701 UNIVERSITY BLVD E, SUITE 507, TUSCALOOSA, AL, 354012086, US

Contacts

Phone +1 205-752-9500
Fax 2057529662

Authorized person

Name CINDY T. DEDMON
Role OWNER
Phone 2057529500

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role
DEDMON, CINDY L Agent

Incorporator

Name Role
DEDMON, CINDY L Incorporator

Events

Event Date Event Type Old Value New Value
2002-07-29 Name Change Dedmon and Clark, P.C. Tuscaloosa Family Practice and Obstetrics, P.C.
1998-02-19 Name Change Cindy L. Dedmon, M.D., P.C. Dedmon and Clark, P.C.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State