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Dyess Medical Services, Inc.

Details

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

National Provider Identifier

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

Contacts

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

Incorporator

Name Role Address
DYESS, LANCE K Incorporator 1668 N CLAXTON AVEELBA, AL 36323
DYESS, GLORIA P Incorporator No data

Agent

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