| Name: | G. William Manifold, M.D,, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 11 Sep 2013 (11 years ago) |
| Date of dissolution: | 29 Sep 2017 |
| Entity Number: | 000-287-633 |
| Register Number: | 000287633 |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Registered Office Street Address: | 2114 BROOKMEADE ROAD SEDECATUR, AL 35601 |
| Registered Office Street Address ZIP Code: | 35601 |
| Authorized Capital: | 10000 @ $1.00PV |
| Paid Share Capital: | $1,000.00 |
Activities
PROFESSIONAL MEDICAL SERVICES/OBSTETRICS AND GYNECOLOGY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376978007 | 2013-09-12 | 2013-09-12 | PO BOX 1684, DECATUR, AL, 356021684, US | 1208 SOMERVILLE RD SE, DECATUR, AL, 356014335, US | |||||||||||||||
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| Phone | +1 256-350-4855 |
| Phone | +1 256-318-4380 |
Authorized person
| Name | DR. GEORGE WILLIAM MANIFOLD |
| Role | PRESIDENT |
| Phone | 2563184380 |
Taxonomy
| Taxonomy Code | 207VG0400X - Gynecology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MANIFOLD, G W | Agent |
| Name | Role | Address |
|---|---|---|
| MANIFOLD, G WILLIAM | Director | 2114 BROOKMEADE ROAD SEDECATUR, AL 35601 |
| Name | Role |
|---|---|
| MANIFOLD, G W | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
