Search icon

Tennessee Valley Neurology, P.C.

Details

Name: Tennessee Valley Neurology, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 21 Apr 2004 (21 years ago)
Date of dissolution: 11 Dec 2019
Entity Number: 000-234-826
Register Number: 000234826
County: Lauderdale
Place of Formation: Lauderdale County
Principal Address: FLORENCE, AL
Registered Office Street Address: 2407 HELTON DRFLORENCE, AL 35630
Registered Office Street Address ZIP Code: 35630
Authorized Capital: $10

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457457806 2006-09-15 2020-08-22 PO BOX 10000, FLORENCE, AL, 356312000, US 2407 HELTON DR, FLORENCE, AL, 356301067, US

Contacts

Phone +1 256-718-5900
Fax 2567185918

Authorized person

Name DINA R JANNUN
Role PHYSICIAN
Phone 2567185900

Taxonomy

Taxonomy Code 2084N0400X - Neurology Physician
Is Primary Yes

Agent

Name Role Address
JANNUN, DINA R Agent 715 ROBBINS BEACH ROADKILLEN, AL 35645

Incorporator

Name Role Address
JANNUN, DINA R Incorporator 715 ROBBINS BEACH ROADKILLEN, AL 35645

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State