| Name: | Premier Internal Medicine Associates, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 07 Apr 2014 (11 years ago) |
| Entity Number: | 000-307-015 |
| Register Number: | 000307015 |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 3001 BOGEY CIRCLE SEOWENS CROSS ROADS, AL 35763 |
| Registered Office Street Address ZIP Code: | 35763 |
| Authorized Capital: | 1000 @ $1.00 PV |
Activities
PROVIDE MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437564200 | 2014-06-30 | 2014-10-03 | 420 LOWELL DR SE, SUITE 302, HUNTSVILLE, AL, 358013754, US | 420 LOWELL DR SE, SUITE 302, HUNTSVILLE, AL, 358013754, US | |||||||||||||||
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| Phone | +1 256-265-1910 |
| Fax | 2562651911 |
Authorized person
| Name | KRISTINE PIGG |
| Role | CREDENTIALING SPECIALIST |
| Phone | 2565198272 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HASSAN, ZIA | Agent | 3001 BOGEY CIRCLE SEOWENS CROSS ROADS, AL 35763 |
| Name | Role | Address |
|---|---|---|
| HASSAN, ZIA | Director | 3001 BOGEY CIRCLE SEOWENS CROSS ROADS, AL 35763 |
| Name | Role | Address |
|---|---|---|
| HASSAN, ZIA | Incorporator | 3001 BOGEY CIRCLE SEOWENS CROSS ROADS, AL 35763 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
