Name: | Primary Care for Adults, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Dissolved |
Date of registration: | 23 Jan 2003 (22 years ago) (Companies founded in January 2003) |
Date of dissolution: | 25 Sep 2018 |
Entity Number: | 000-227-048 |
Register Number: | 000227048 |
ZIP code: | 36117 (Companies in Montgomery, 36117) |
County: | Montgomery |
Place of Formation: | Montgomery County |
Principal Address: | MONTGOMERY, AL |
Registered Office Street Address: | 1341 MERIWETHER RDMONTGOMERY, AL 36117 |
Authorized Capital: | $5,000 |
Activities
MEDICINE PRACTICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1902880495 | 2005-11-30 | 2014-03-06 | 1400 AFFLINK PL, SUITE 100, TUSCALOOSA, AL, 354062289, US | 300 TAYLOR RD, SUITE 700, MONTGOMERY, AL, 361173521, US | |||||||||||||||||||||||||
|
Phone | +1 205-366-9740 |
Fax | 2053449992 |
Phone | +1 334-277-1115 |
Fax | 3342770515 |
Authorized person
Name | DR. BRYAN DOUGLAS STRICKLAND |
Role | PHYSICIAN |
Phone | 3342771115 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 529914670 |
State | AL |
Name | Role |
---|---|
STRICKLAND, BRYAN D | Agent |
Name | Role |
---|---|
SPEIR, W HOLT III | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State