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Advanced Internal Medicine, P.C.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
CHANEY, SHARON B Agent 2008 STONEGATE TRAIL #100VESTAVIA HILLS, AL 35242

Incorporator

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