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Davis Medical Clinic, Ltd.

Details

Name: Davis Medical Clinic, Ltd.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 01 Aug 1974 (50 years ago) (Companies founded in August 1974)
Entity Number: 000-035-036
Register Number: 000035036
Place of Formation: Lamar County
Principal Address: VERNON, AL
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184926081 2010-11-28 2010-11-28 PO BOX 609, VERNON, AL, 355920609, US 110 MEDICAL CLINIC DR, VERNON, AL, 355925224, US

Contacts

Phone +1 205-695-9411

Authorized person

Name DR. ROBERT WILLIAM DAVIS
Role OWNER
Phone 2056959411

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number 3636
State AL
Is Primary Yes

Incorporator

Name Role
DAVIS, R WILLIAM MD Incorporator

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State