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Jep P. Dalton, M.D., P.C.

Details

Name: Jep P. Dalton, M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 22 Sep 2006 (18 years ago) (Companies founded in September 2006)
Entity Number: 000-249-249
Register Number: 000249249
ZIP code: 36116 (Companies in Montgomery, 36116)
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 2055 EAST SOUTH BLVD STE 706MONTGOMERY, AL 36116
Authorized Capital: $1,000

Activities MEDICAL PRACTICE (GASTROENTEROLOGY)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275633307 2006-09-25 2020-08-22 2055 E SOUTH BLVD, SUITE 706, MONTGOMERY, AL, 361162001, US 2055 E SOUTH BLVD, SUITE 706, MONTGOMERY, AL, 361162001, US

Contacts

Phone +1 334-288-2900
Fax 3342812637

Authorized person

Name DR. JEP P DALTON
Role PRESIDENT
Phone 3342882900

Taxonomy

Taxonomy Code 207RG0100X - Gastroenterology Physician
License Number 7421
State AL
Is Primary Yes

Agent

Name Role
DALTON, JEP P Agent

Incorporator

Name Role Address
ROBY, RILEY W Incorporator 105 TALLAPOOSA STREET, SUITE 200MONTGOMERY, AL 36104-7821

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State