| Name: | Andrew G. Harrell, M.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 25 May 2006 (18 years ago) |
| Date of dissolution: | 23 Dec 2009 |
| Entity Number: | 000-247-444 |
| Register Number: | 000247444 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | TUSCALOOSA, AL |
| Registered Office Street Address: | 1031 FAIRFAX PARKTUSCALOOSA, AL 35406 |
| Registered Office Street Address ZIP Code: | 35406 |
| Authorized Capital: | $5,000 |
| Paid Share Capital: | $1,000 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558370460 | 2006-08-07 | 2020-08-22 | 1031 FAIRFAX PARK, TUSCALOOSA, AL, 354062807, US | 1031 FAIRFAX PARK, TUSCALOOSA, AL, 354062807, US | |||||||||||||||||||
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| Phone | +1 205-345-2211 |
| Fax | 2053452220 |
Authorized person
| Name | DR. ANDREW G HARRELL |
| Role | PRESIDENT |
| Phone | 2053452211 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| License Number | 27428 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HARRELL, ANDREW G | Agent | 700 STONEBRAE ROADTUSCALOOSA, AL 35406 |
| Name | Role | Address |
|---|---|---|
| HARRELL, ANDREW G | Incorporator | 700 STONEBRAE ROADTUSCALOOSA, AL 35406 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
