| Name: | Green Medical Group, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 21 May 2004 (21 years ago) (Companies founded in May 2004) |
| Date of dissolution: | 29 Dec 2009 |
| Entity Number: | 000-235-340 |
| Register Number: | 000235340 |
| ZIP code: | 35772 (Companies in Jackson, 35772) |
| County: | Jackson |
| Place of Formation: | Jackson County |
| Principal Address: | STEVENSON, AL |
| Registered Office Street Address: | 42950 HWY 72 STE 301STEVENSON, AL 35772 |
| Authorized Capital: | $3,000 |
| Paid Share Capital: | $3,000 |
Activities
FAMILY/INTERAL MEDICINE PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285839688 | 2007-06-18 | 2020-08-22 | PO BOX 868, STEVENSON, AL, 357720868, US | 42950 AL HWY 72, SUITE 301, STEVENSON, AL, 35772, US | |||||||||||||||||||||||||||
|
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| Phone | +1 256-437-1913 |
| Fax | 2564371918 |
Authorized person
| Name | MRS. JANET H GREEN |
| Role | PRESIDENT |
| Phone | 2564371913 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 26020 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 26043 |
| State | AL |
| Is Primary | No |
| Name | Role |
|---|---|
| GREEN, STEPHEN ROGER | Agent |
| Name | Role |
|---|---|
| GREEN, STEPHEN ROGER | Incorporator |
| GREEN, JANET HODGE | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
