| Name: | Motley & Crestani Family Practice, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 06 May 2002 (23 years ago) (Companies founded in May 2002) |
| Date of dissolution: | 29 Dec 2006 |
| Entity Number: | 000-222-782 |
| Register Number: | 000222782 |
| ZIP code: | 35803 (Companies in Madison, 35803) |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 10106 SHADOW WOOD DR SEHUNTSVILLE, AL 35803 |
| Authorized Capital: | $1,000 |
Activities
PRACTICE MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588611693 | 2006-05-27 | 2020-08-22 | PO BOX 2586, HUNTSVILLE, AL, 358042586, US | 250 CHATEAU DR SW, SUITE 245, HUNTSVILLE, AL, 358016436, US | |||||||||||||||
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| Phone | +1 256-534-1323 |
| Fax | 2565341780 |
Authorized person
| Name | PANDA JO PALMER |
| Role | ACCOUNTS MANAGER |
| Phone | 2565341323 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MOTLEY, CAROL P | Agent |
| Name | Role |
|---|---|
| MOTLEY, CAROL P | Incorporator |
| CRESTANI, MARY MARGARET | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
