| Name: | Faith Internal Medicine, PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 14 Sep 2018 (6 years ago) (Companies founded in September 2018) |
| Date of dissolution: | 21 Dec 2021 |
| Entity Number: | 000-529-626 |
| Register Number: | 000529626 |
| ZIP code: | 35453 (Companies in Tuscaloosa, 35453) |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Registered Office Street Address: | 10551 MALLARD TRAILCOTTONDALE, AL 35453 |
| Authorized Capital: | 5000 @ $1.00 PV |
Activities
PROFESSIONAL SERVICE OF THE PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689146250 | 2018-12-20 | 2018-12-20 | PO BOX 767, COTTONDALE, AL, 354530109, US | 755 55TH PL E, TUSCALOOSA, AL, 354054140, US | |||||||||||||||||||
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| Phone | +1 205-394-7525 |
| Fax | 2055533233 |
| Phone | +1 205-469-1828 |
| Fax | 2054691829 |
Authorized person
| Name | DAWN W BRYANT |
| Role | OWNER/PHYSICIAN |
| Phone | 2053947525 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRYANT, DAWN W | Agent | 10551 MALLARD TRAILCOTTONDALE, AL 35453 |
| Name | Role | Address |
|---|---|---|
| BRYANT, DAWN WATTS | Director | 10551 MALLARD TRAILCOTTONDALE, AL 35453 |
| Name | Role | Address |
|---|---|---|
| BRYANT, DAWN W | Incorporator | 10551 MALLARD TRAILCOTTONDALE, AL 35453 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
