| Name: | Diabetes & Thyroid Associates, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 09 Jan 1998 (27 years ago) (Companies founded in January 1998) |
| Date of dissolution: | 03 May 2021 |
| Entity Number: | 000-192-579 |
| Register Number: | 000192579 |
| ZIP code: | 35209 (Companies in Jefferson, 35209) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | ACC 408, 2022 BROOKWOOD MEDICAL CENTER DRIVEBIRMINGHAM, AL 35209 |
| Authorized Capital: | $1,000 |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447423090 | 2008-04-03 | 2008-04-03 | 2022 BROOKWOOD MEDICAL CTR DR, SUITE 408, BIRMINGHAM, AL, 352096808, US | 2022 BROOKWOOD MEDICAL CTR DR, SUITE 408, BIRMINGHAM, AL, 352096808, US | |||||||||||||||||
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| Phone | +1 205-871-7570 |
| Fax | 2058710291 |
Authorized person
| Name | MRS. CAROLYN LUCAS |
| Role | OFFICE MANAGER |
| Phone | 2058717570 |
Taxonomy
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| GONCALVES, EDISON | Incorporator |
| Name | Role |
|---|---|
| GONCALVES, EDISON | Agent |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
