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Zelda Health Clinic, Inc.

Details

Name: Zelda Health Clinic, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 08 Sep 2016 (8 years ago)
Date of dissolution: 08 Nov 2017
Entity Number: 000-371-436
Register Number: 000371436
Historical Names: Montgomery Accident and Injury Center, Inc.
County: Montgomery
Place of Formation: Montgomery County
Principal Address: 2900 ZELDA ROAD SUITE AMONTGOMERY, AL 36106
Principal Address ZIP Code: 36106
Authorized Capital: 10,000

Activities ANY AND ALL LAWFUL BUSINESS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780123109 2017-02-17 2017-02-20 2900 ZELDA RD, STE B, MONTGOMERY, AL, 36106, US 2900 ZELDA RD, STE B, MONTGOMERY, AL, 36106, US

Contacts

Phone +1 334-270-9940
Fax 3342709939

Authorized person

Name DR. JEFFREY PAUL PHILLIPS
Role PRESIDENT
Phone 3342709940

Taxonomy

Taxonomy Code 363LP2300X - Primary Care Nurse Practitioner
License Number -148444
State AL
Is Primary Yes

Incorporator

Name Role Address
SANDERS, RICHARD D Incorporator 3530 INDEPENDENCE DRBIRMINGHAM, AL 35209

Agent

Name Role
MCMILLIAM, LORI Agent

Events

Event Date Event Type Old Value New Value
2017-07-06 Name Change Montgomery Accident and Injury Center, Inc. Zelda Health Clinic, Inc.

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State