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 | |||||||||||||||
|
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