Name: | Dyess Medical Services, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 07 Oct 2010 (14 years ago) |
Entity Number: | 000-265-407 |
Register Number: | 000265407 |
County: | Coffee |
Place of Formation: | Coffee County |
Principal Address: | ELBA, AL |
Registered Office Street Address: | 1668 NORTH CLAXTON AVEELBA, AL 36323 |
Registered Office Street Address ZIP Code: | 36323 |
Authorized Capital: | $1,000 |
Paid Share Capital: | $1,000 |
Activities
MEDICAL SERVICES FOR HOSPITALS/CLINICS/OTHER MEDICAL ENTITIES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1124376686 | 2012-08-15 | 2012-08-15 | 252 LARKIN RD, ELBA, AL, 363235102, US | 252 LARKIN RD, ELBA, AL, 363235102, US | |||||||||||||||||||
|
Phone | +1 334-897-2207 |
Fax | 3348530128 |
Authorized person
Name | DR. LANCE K DYESS |
Role | PHYSICIAN/OWNER |
Phone | 3348972207 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
License Number | 10790 |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
DYESS, LANCE K | Incorporator | 1668 N CLAXTON AVEELBA, AL 36323 |
DYESS, GLORIA P | Incorporator | No data |
Name | Role | Address |
---|---|---|
DYESS, LANCE K | Agent | 1668 N CLAXTON AVEELBA, AL 36323 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State