| Name: | Hightower Family Medicine, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 12 Jul 2006 (18 years ago) |
| Date of dissolution: | 26 May 2016 |
| Entity Number: | 000-248-187 |
| Register Number: | 000248187 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2022 BROOKWOOD MEDICAL CENTER DRBIRMINGHAM, AL 35209 |
| Registered Office Street Address ZIP Code: | 35209 |
| Authorized Capital: | $1,000 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063424059 | 2006-08-12 | 2009-11-24 | 840 MONTCLAIR RD, SUITE 707, BIRMINGHAM, AL, 352131920, US | 840 MONTCLAIR RD, SUITE 707, BIRMINGHAM, AL, 352131920, US | |||||||||||||||||||
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| Phone | +1 205-599-2345 |
| Fax | 2055992348 |
Authorized person
| Name | STEPHANIE M HIGHTOWER |
| Role | PRESIDENT |
| Phone | 2055992345 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 24370 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| HIGHTOWER, STEPHANIE M | Agent |
| Name | Role |
|---|---|
| HIGHTOWER, STEPHANIE M | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
