| Name: | Premier Internal Medicine, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 24 Apr 2002 (23 years ago) |
| Date of dissolution: | 29 Dec 2014 |
| Entity Number: | 000-221-960 |
| Register Number: | 000221960 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | FAIRHOPE, AL |
| Registered Office Street Address: | 124 NORTH DRFAIRHOPE, AL 36532 |
| Registered Office Street Address ZIP Code: | 36532 |
| Authorized Capital: | $1,000 |
Activities
PRACTICE MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073595773 | 2005-11-17 | 2012-09-10 | 310 GREENO RD S, FAIRHOPE, AL, 365321905, US | 310 S GREENO RD, FAIRHOPE, AL, 365321905, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 251-929-0500 |
| Fax | 2519290505 |
Authorized person
| Name | DR. JOSEPH N M NDOLO |
| Role | PRESIDENT/OWNER |
| Phone | 2519290500 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NDOLO, JOSEPH M | Agent |
| Name | Role |
|---|---|
| NDOLO, JOSEPH M | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
