| Name: | Pepperell Primary Care, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 16 Aug 2012 (12 years ago) (Companies founded in August 2012) |
| Entity Number: | 000-073-352 |
| Register Number: | 000073352 |
| ZIP code: | 36801 (Companies in Lee, 36801) |
| County: | Lee |
| Place of Formation: | Lee County |
| Registered Office Street Address: | 1711 PEPPERELL PARKWAYOPELIKA, AL 36801 |
| Authorized Capital: | 1,000@ &1.00PV |
Activities
PRACTICE GENERAL MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518219716 | 2012-10-11 | 2015-05-22 | 1245 E SOUTH BLVD, MONTGOMERY, AL, 361162315, US | 1245 E SOUTH BLVD, MONTGOMERY, AL, 361162315, US | |||||||||||||||||||
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| Phone | +1 334-281-3030 |
| Fax | 3342814566 |
Authorized person
| Name | DR. DAVID J KNAPP |
| Role | OWNER |
| Phone | 3342332417 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | MD.12134 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KNAPP, DAVID J | Agent | 2707 STONYBROOK ROADOPELIKA, AL 36804 |
| Name | Role | Address |
|---|---|---|
| KNAPP, DAVID J | Director | 2707 STONYBROOK ROADOPELIKA, AL 36804 |
| Name | Role | Address |
|---|---|---|
| KNAPP, DAVID J | Incorporator | 2707 STONYBROOK ROADOPELIKA, AL 36804 |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
