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East Limestone Family Medicine, P.C.

Details

Name: East Limestone Family Medicine, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 31 Jul 2003 (21 years ago) (Companies founded in July 2003)
Date of dissolution: 12 Sep 2006
Entity Number: 000-230-303
Register Number: 000230303
ZIP code: 35613 (Companies in Limestone, 35613)
County: Limestone
Place of Formation: Limestone County
Principal Address: ATHENS, AL
Registered Office Street Address: 26435 PEPPER RDATHENS, AL 35613
Authorized Capital: $5,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386760973 2007-03-22 2020-08-22 15024 E LIMESTONE RD, SUITE F, HARVEST, AL, 357497263, US 15024 E LIMESTONE RD, SUITE F, HARVEST, AL, 357497263, US

Contacts

Phone +1 256-233-4886
Fax 2562334522

Authorized person

Name GARY B TATE
Role CFO
Phone 2562339426

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role
JONES, WILLIAM DOUGLAS Agent

Incorporator

Name Role
JONES, WILLIAM DOUGLAS Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State