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North Baldwin Family Physicians, P.C.

Details

Name: North Baldwin Family Physicians, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 29 Oct 2010 (14 years ago)
Date of dissolution: 04 Feb 2015
Entity Number: 000-265-654
Register Number: 000265654
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: 5 MOBILE INFIRMARY CIRCLEMOBILE, AL 36607
Registered Office Street Address ZIP Code: 36607
Authorized Capital: $1,000

Activities PROFESSIONAL MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902106487 2010-10-29 2010-10-29 2305 HAND AVE, 3, BAY MINETTE, AL, 365074191, US 2305 HAND AVE, 3, BAY MINETTE, AL, 365074191, US

Contacts

Phone +1 251-937-1528
Fax 2519371529

Authorized person

Name MR. RICHARD BARRE SANDERS
Role VICE PRESIDENT
Phone 2514351300

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number 30553
State AL
Is Primary Yes

Agent

Name Role Address
NIX, D MARK Agent 15 KINGSWAYMOBILE, AL 36608

Incorporator

Name Role
INFIRMARY MEDICAL CLINICS PC Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State