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ADHD Medical Clinic of Mobile, PC

Details

Name: ADHD Medical Clinic of Mobile, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 27 Mar 2013 (12 years ago) (Companies founded in March 2013)
Entity Number: 000-073-635
Register Number: 000073635
ZIP code: 36606 (Companies in Mobile, 36606)
County: Mobile
Place of Formation: Mobile County
Registered Office Street Address: 2651 OLD SHELL ROADMOBILE, AL 36606
Authorized Capital: 10,000 @ $0.01P

Activities PROFESSIONAL MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1629411731 2013-04-09 2024-05-15 2651 OLD SHELL RD, MOBILE, AL, 366072929, US 2651 OLD SHELL RD, MOBILE, AL, 366072929, US

Contacts

Phone +1 251-243-7058

Authorized person

Name CHARLOTTE WALL
Role PRACTICE MANAGER
Phone 2512437058

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number 22050
State AL
Is Primary Yes

Director

Name Role Address
INGE, FRANCES KATHLEEN Director 2404 SPRINGHILL AVENUE UNIT 114MOBILE, AL 36607

Incorporator

Name Role Address
RICCIO, ROBERT J Incorporator 11 N WATER STREET SUITE 30200MOBILE, AL 36601

Agent

Name Role
WESTBROOK, ALMAND J JR Agent

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State