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Riverside Gastroenterology, PC

Details

Name: Riverside Gastroenterology, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 22 Mar 2011 (14 years ago) (Companies founded in March 2011)
Entity Number: 000-007-008
Register Number: 000007008
ZIP code: 35601 (Companies in Morgan, 35601)
County: Morgan
Place of Formation: Morgan County
Registered Office Street Address: 1302 SOMERVILLE ROAD SEDECATUR, AL 35601
Authorized Capital: 10,000 @ $1 PV

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669762480 2011-04-13 2011-04-13 1304 SOMERVILLE RD SE, DECATUR, AL, 356014354, US 1304 SOMERVILLE RD SE, DECATUR, AL, 356014354, US

Contacts

Phone +1 256-260-2333
Fax 2562602336

Authorized person

Name THOMAS SHORT
Role PRESIDENT
Phone 2562602333

Taxonomy

Taxonomy Code 207RG0100X - Gastroenterology Physician
Is Primary Yes

Agent

Name Role Address
SHORT, THOMAS P Agent 206 MORNINGWALK LANEHUNTSVILLE, AL 35824

Director

Name Role Address
SHORT, THOMAS P Director 206 MORNINGWALK LANEHUNTSVILLE, AL 35824

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State