Name: | Yielding & Yielding, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Dissolved |
Date of registration: | 11 Sep 1996 (28 years ago) |
Date of dissolution: | 15 May 2015 |
Entity Number: | 000-182-226 |
Register Number: | 000182226 |
County: | Colbert |
Place of Formation: | Colbert County |
Principal Address: | TUSCUMBIA, AL |
Registered Office Street Address: | 511 WOODLAND DRTUSCUMBIA, AL 35674 |
Registered Office Street Address ZIP Code: | 35674 |
Authorized Capital: | $10 |
Activities
INTERNAL MEDICINE/ONCOLOGY SERVICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1720267230 | 2007-10-31 | 2011-09-27 | 810 S MONTGOMERY AVE, SHEFFIELD, AL, 356603814, US | 810 S MONTGOMERY AVE, SHEFFIELD, AL, 356603814, US | |||||||||||||||||||||||||||||||||||||
|
Phone | +1 256-381-1411 |
Authorized person
Name | DR. LERENA WADE HAUGE YIELDING |
Role | SECRETARY |
Phone | 2563811411 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | 18616 |
State | AL |
Is Primary | No |
Taxonomy Code | 261Q00000X - Clinic/Center |
License Number | 18616 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BLUE CROSS/BLUE SHIELD |
Number | 51045818YIE |
State | AL |
Issuer | MEDICAID |
Number | 000045818 |
State | AL |
Name | Role |
---|---|
YIELDING, K LEMONE | Agent |
Name | Role |
---|---|
YIELDING, K LEMONE | Incorporator |
YIELDING, LERENA WADE HAUGE | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State