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Tri-County Medical Associates, P.C.

Details

Name: Tri-County Medical Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 25 Oct 1999 (25 years ago) (Companies founded in October 1999)
Date of dissolution: 26 Oct 2018
Entity Number: 000-205-889
Register Number: 000205889
ZIP code: 36854 (Companies in Chambers, 36854)
County: Chambers
Place of Formation: Chambers County
Principal Address: VALLEY, AL
Registered Office Street Address: #2 MEDICAL PARK 48TH STVALLEY, AL 36854
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities PROVIDE HEALTH/MEDICAL CARE SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861552341 2006-12-12 2008-08-01 PO BOX 759, VALLEY, AL, 368540759, US 2 48TH ST, VALLEY, AL, 368543615, US

Contacts

Phone +1 706-643-1073
Fax 7066431070
Phone +1 334-756-2136
Fax 3347564184

Authorized person

Name DR. MAX RONALD SHIVER
Role CEO
Phone 7066431073

Taxonomy

Taxonomy Code 174400000X - Specialist
Is Primary Yes

Agent

Name Role
SHIVER, M RON Agent

Incorporator

Name Role
SHIVER, M RON Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State