| Name: | Northeast Alabama Pediatrics, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 28 Jul 1972 (52 years ago) (Companies founded in July 1972) |
| Entity Number: | 000-030-515 |
| Register Number: | 000030515 |
| Historical Names: |
Dr. B. Lawrence Skelton, M.D., P.A.
Northeast Alabama Pediatrics, P.C.. Skelton Pediatrics, P.C. |
| ZIP code: | 35901 (Companies in Etowah, 35901) |
| County: | Etowah |
| Place of Formation: | Etowah County |
| Principal Address: | 829 RIVERBEND DRGADSDEN, AL 35901 |
| Registered Office Street Address: | 829 RIVER BEND DRIVEGADSDEN, AL 35901 |
| Authorized Capital: | $1,000 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306946546 | 2006-09-25 | 2016-10-11 | 829 RIVERBEND DR, GADSDEN, AL, 359012556, US | 829 RIVERBEND DR, GADSDEN, AL, 359012556, US | |||||||||||||||||||||
|
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| Phone | +1 256-546-4611 |
| Fax | 2565462214 |
Authorized person
| Name | DR. KENNETH E SKELTON |
| Role | PRESIDENT |
| Phone | 2565464611 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529200440 |
| State | AL |
| Name | Role |
|---|---|
| SKELTON, KENNETH E | Agent |
| Name | Role |
|---|---|
| SKELTON, KENNETH E | Incorporator |
| GOODIN, JONATHAN MARK | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2023-11-27 | Name Change | Skelton Pediatrics, P.C. | Northeast Alabama Pediatrics, P.C. |
| 2023-08-25 | Name Change | Northeast Alabama Pediatrics, P.C.. | Skelton Pediatrics, P.C. |
| 1997-08-01 | Name Change | Dr. B. Lawrence Skelton, M.D., P.A. | Northeast Alabama Pediatrics, P.C.. |
| 1997-08-01 | Capital Change | --- Authorized --- Paid In | $1,000 Authorized undefined Paid In |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
