| Name: | Azalea OB/GYN, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 31 Aug 2006 (18 years ago) |
| Date of dissolution: | 20 Dec 2011 |
| Entity Number: | 000-248-964 |
| Register Number: | 000248964 |
| County: | Franklin |
| Place of Formation: | Franklin County |
| Principal Address: | RUSSELLVILLE, AL |
| Registered Office Street Address: | 523-F GANDY ST NERUSSELLVILLE, AL 35653 |
| Registered Office Street Address ZIP Code: | 35653 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740383983 | 2006-09-06 | 2020-08-22 | 523 GANDY ST NE, SUITE F, RUSSELLVILLE, AL, 356531961, US | 523 GANDY ST NE, SUITE F, RUSSELLVILLE, AL, 356531961, US | |||||||||||||||||||
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| Phone | +1 256-331-3988 |
| Fax | 2563313987 |
Authorized person
| Name | DR. DAPHNE LYNN JONES |
| Role | MD/PRESIDENT |
| Phone | 2563313988 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| License Number | 00027647 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| JONES, DAPHNE L | Agent |
| Name | Role |
|---|---|
| JONES, DAPHNE L | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
