| Name: | Gadsden Lung Center, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 03 Jan 2002 (23 years ago) (Companies founded in January 2002) |
| Entity Number: | 000-220-432 |
| Register Number: | 000220432 |
| ZIP code: | 35901 (Companies in Etowah, 35901) |
| County: | Etowah |
| Place of Formation: | Etowah County |
| Principal Address: | GADSDEN, AL |
| Registered Office Street Address: | 531 BAY ST STE 201GADSDEN, AL 35901 |
| Authorized Capital: | $1,000 |
Activities
PRACTICE MEDICINE/PRACTICE PULMONARY DISEASES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023348398 | 2010-01-07 | 2015-10-29 | PO BOX 1859, GADSDEN, AL, 359021859, US | 1026 GOODYEAR AVE, SUITE 302, GADSDEN, AL, 359031102, US | |||||||||||||||||||
|
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| Phone | +1 256-543-3877 |
| Fax | 2565431539 |
Authorized person
| Name | DR. MAZEN HAKIM |
| Role | PRESIDENT |
| Phone | 2565433877 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| License Number | 17934 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| HAKIM, MAZEN | Agent |
| Name | Role |
|---|---|
| HAKIM, MAZEN | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
