| Name: | GMUC of Tillmans Corner, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 30 Jul 2014 (10 years ago) (Companies founded in July 2014) |
| Date of dissolution: | 13 Dec 2017 |
| Entity Number: | 000-315-391 |
| Register Number: | 000315391 |
| ZIP code: | 36695 (Companies in Mobile, 36695) |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Registered Office Street Address: | 2350 SCHILLINGER ROAD S SUITE AMOBILE, AL 36695 |
| Authorized Capital: | 20000 @ $1.00PV |
Activities
PRACTICE OF MEDICINE / URGENT CARE FACILITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386053783 | 2014-08-11 | 2014-08-11 | 5100 RANGELINE SERVICE RD N, MOBILE, AL, 366199504, US | 5100 RANGELINE SERVICE RD N, MOBILE, AL, 366199504, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 251-633-0123 |
| Fax | 2514453722 |
Authorized person
| Name | DARREN WATERS |
| Role | PARTNER |
| Phone | 2516330123 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WATERS, DARREN K | Agent | 2350 SCHILLINGER ROAD S SUITE AMOBILE, AL 36695 |
| Name | Role | Address |
|---|---|---|
| WATERS, DARREN K | Director | 2350 SCHILLINGER ROAD S SUITE AMOBILE, AL 36695 |
| Name | Role | Address |
|---|---|---|
| ROUSE, ROBERT H | Incorporator | 2000 LACLEDE BUILDING, 150 GOVERNMENMOBILE, AL 36602-3935 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
