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Alt MD, PC

Details

Name: Alt MD, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 30 Sep 2009 (15 years ago) (Companies founded in September 2009)
Date of dissolution: 07 Oct 2020
Entity Number: 000-262-270
Register Number: 000262270
ZIP code: 35244 (Companies in Jefferson, 35244)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 3421 SHADES CREST ROAD STE 111BIRMINGHAM, AL 35244
Authorized Capital: 1,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013244946 2009-11-13 2009-11-13 3421 S SHADES CREST RD, BIRMINGHAM, AL, 352443550, US 3421 S SHADES CREST RD, BIRMINGHAM, AL, 352443550, US

Contacts

Phone +1 205-936-2203

Authorized person

Name MR. MATTHEW CAMPBELL KORCZ
Role PRACTICE MANAGER
Phone 2059362203

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role
KORCZ, MATTHEW Agent

Incorporator

Name Role Address
STAHLIN, EDWARD Incorporator 315 W. HURON, STE. 240ANN ARBOR, MI 48103

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State