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Inpatient Medical Consultants of North Alabama, P.C.

Details

Name: Inpatient Medical Consultants of North Alabama, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 05 Feb 2009 (16 years ago)
Date of dissolution: 23 Dec 2013
Entity Number: 000-259-967
Register Number: 000259967
Historical Names: Alabama Inpatient Medical Consultants, P.C.
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 360 DUPREE DRHUNTSVILLE, AL 35806
Registered Office Street Address ZIP Code: 35806
Authorized Capital: 1,000

Activities HEALTH CARE SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891934642 2009-02-18 2011-01-31 PO BOX 1814, MADISON, AL, 357585410, US 1 HOSPITAL DR SW, HUNTSVILLE, AL, 358016455, US

Contacts

Phone +1 256-429-5196
Fax 2564294573

Authorized person

Name DR. TRACY WILSON PULLIAM
Role PRESIDENT
Phone 2563614869

Taxonomy

Taxonomy Code 208M00000X - Hospitalist Physician
License Number 026489
State AL
Is Primary Yes

Agent

Name Role
PULLIAM, TRACY Agent

Incorporator

Name Role Address
GALLO, EILEEN Incorporator 101 N BRAND BLVD 11TH FLOORGLENDALE, CA 91203

Events

Event Date Event Type Old Value New Value
2009-11-19 Name Change Alabama Inpatient Medical Consultants, P.C. Inpatient Medical Consultants of North Alabama, P.C.

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State