Name: | Internal Medicine of Shelby, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Dissolved |
Date of registration: | 04 Mar 2005 (20 years ago) |
Date of dissolution: | 30 Mar 2017 |
Entity Number: | 000-240-226 |
Register Number: | 000240226 |
Historical Names: |
Shelby Internal Medicine, P.C.
|
County: | Shelby |
Place of Formation: | Shelby County |
Principal Address: | BIRMINGHAM, AL |
Registered Office Street Address: | 161 BRISSTOL LANEBIRMINGHAM, AL 35242 |
Registered Office Street Address ZIP Code: | 35242 |
Authorized Capital: | $1,000 |
Activities
PRACTICE OF MEDICINE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1497946800 | 2007-08-09 | 2007-08-09 | 151 NARROWS PKWY, SUITE F, BIRMINGHAM, AL, 352428637, US | 151 NARROWS PKWY, SUITE F, BIRMINGHAM, AL, 352428637, US | |||||||||||||||||||
|
Phone | +1 205-995-3454 |
Fax | 2059953431 |
Authorized person
Name | DR. MICHAEL T PATTON |
Role | PRESIDENT |
Phone | 2059953454 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | DO751 |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
PATTON, MICHAEL T | Agent | 328 HIGHLAND VIEW DRIVEBIRMINGHAM, AL 35242 |
Name | Role | Address |
---|---|---|
PATTON, MICHAEL T | Incorporator | 328 HIGHLAND VIEW DRIVEBIRMINGHAM, AL 35242 |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
2005-04-18 | Name Change | Shelby Internal Medicine, P.C. | Internal Medicine of Shelby, P.C. |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State