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Hightower Family Medicine, P.C.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
HIGHTOWER, STEPHANIE M Agent

Incorporator

Name Role
HIGHTOWER, STEPHANIE M Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State