| Name: | West Alabama Emergency Physicians, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 31 Jan 2001 (24 years ago) |
| Date of dissolution: | 09 Dec 2016 |
| Entity Number: | 000-214-813 |
| Register Number: | 000214813 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | TUSCALOOSA, AL |
| Registered Office Street Address: | 1251 MCFARLAND BLVD NETUSCALOOSA, AL 35406 |
| Registered Office Street Address ZIP Code: | 35406 |
| Authorized Capital: | $5,000 |
| Paid Share Capital: | $3,000 |
Activities
MEDICAL CARE/SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528071149 | 2006-08-14 | 2020-08-22 | 2330 UNIVERSITY BLVD, SUITE 501, TUSCALOOSA, AL, 354011590, US | 2700 HOSPITAL DR, NORTHPORT, AL, 354763360, US | |||||||||||||||||||||||||||
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| Phone | +1 205-366-3334 |
| Fax | 2053449031 |
| Phone | +1 205-333-4500 |
| Fax | 2053334552 |
Authorized person
| Name | MR. DERICK MORRING BEEM |
| Role | ADMINISTRATOR |
| Phone | 2053449019 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| State | AL |
| Is Primary | No |
| Name | Role |
|---|---|
| TU, JIMMY | Agent |
| Name | Role |
|---|---|
| NEWCOMB, JOHN | Incorporator |
| TU, JIMMY | Incorporator |
| WOODS, MARK A | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
