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General Practice, P.C.

Details

Name: General Practice, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 23 Nov 2011 (13 years ago) (Companies founded in November 2011)
Entity Number: 000-032-124
Register Number: 000032124
ZIP code: 36542 (Companies in Baldwin, 36542)
County: Baldwin
Place of Formation: Baldwin County
Registered Office Street Address: 141 COVE AVENUEGULF SHORES, AL 36542
Authorized Capital: 1,000

Activities GENERAL FAMILY MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649434424 2008-07-11 2012-04-09 PO BOX 2029, GULF SHORES, AL, 365472029, US 3849 GULF SHORES PKWY, SUNSET PLAZA SUITE 9, GULF SHORES, AL, 365422856, US

Contacts

Phone +1 251-968-2441
Fax 2519685555

Authorized person

Name MRS. KIMBERLY A RANDALL
Role MANAGER
Phone 2519675215

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
License Number DO58
State AL
Is Primary Yes

Agent

Name Role Address
FUNK, GREGORY S Agent 141 COVE AVENUEGULF SHORES, AL 36542

Director

Name Role Address
FUNK, GREGORY S Director 141 COVE AVENUEGULF SHORES, AL 36542

Incorporator

Name Role Address
FUNK, GREGORY S Incorporator 141 COVE AVENUEGULF SHORES, AL 36542

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State