Name: | Advanced Internal Medicine, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 14 May 2008 (16 years ago) |
Entity Number: | 000-257-324 |
Register Number: | 000257324 |
County: | Jefferson |
Place of Formation: | Jefferson County |
Principal Address: | BIRMINGHAM, AL |
Registered Office Street Address: | 3452 OAK CANYON DRBIRMINGHAM, AL 35243 |
Registered Office Street Address ZIP Code: | 35243 |
Authorized Capital: | 100 |
Activities
MEDICAL PRACTICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1558528356 | 2008-05-20 | 2010-06-18 | P O BOX 430125, BIRMINGHAM, AL, 35243, US | 860 MONTCLAIR RD, POB 860 STE 761, BIRMINGHAM, AL, 352131923, US | |||||||||||||||||||
|
Phone | +1 205-595-0395 |
Fax | 2055999024 |
Authorized person
Name | DR. SHARON BROM CHANEY |
Role | OWNER |
Phone | 2055950395 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | 00023549 |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CHANEY, SHARON B | Agent | 2008 STONEGATE TRAIL #100VESTAVIA HILLS, AL 35242 |
Name | Role | Address |
---|---|---|
BROM, STEVEN M | Incorporator | 4908 CAHABA RIVER ROAD SUITE 100BIRMINGHAM, AL 35243 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State