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Elgin Quick Med, Inc.

Details

Name: Elgin Quick Med, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 25 Oct 2007 (17 years ago)
Date of dissolution: 21 Dec 2015
Entity Number: 000-254-823
Register Number: 000254823
County: Lauderdale
Place of Formation: Lauderdale County
Principal Address: FLORENCE, AL
Registered Office Street Address: 1604-A MOCKINGBIRD COURTFLORENCE, AL 35630
Registered Office Street Address ZIP Code: 35630
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities MEDICAL CLINIC

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194909796 2007-12-19 2007-12-19 2850 HWY 101, ROGERSVILLE, AL, 35652, US 2850 HWY 101, ROGERSVILLE, AL, 35652, US

Contacts

Phone +1 256-247-1331
Fax 2562479791

Authorized person

Name DORIS WILLS
Role BILLING MANAGER
Phone 2567689928

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role
MCCUTCHEON, DIANA Agent

Incorporator

Name Role
MCCUTCHEON, DIANA Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State