| Name: | Tots 'N' Teens Pediatrics, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 30 Jun 1989 (35 years ago) |
| Entity Number: | 000-131-651 |
| Register Number: | 000131651 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 3729 MARY TAYLOR ROADBIRMINGHAM, AL 35235 |
| Registered Office Street Address ZIP Code: | 35235 |
| Authorized Capital: | $5,000 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801852041 | 2006-04-25 | 2010-01-12 | 3729 MARY TAYLOR RD, BIRMINGHAM, AL, 352353261, US | 3729 MARY TAYLOR RD, BIRMINGHAM, AL, 352353261, US | |||||||||||||||||||||
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| Phone | +1 205-856-4440 |
| Fax | 2058564445 |
Authorized person
| Name | DR. DELINDA A DAVIS |
| Role | PRESIDENT |
| Phone | 20558564440 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529201310 |
| State | AL |
| Name | Role |
|---|---|
| STEVEN D. BARRON | Agent |
| Name | Role |
|---|---|
| CALDWELL, TOM O MD | Incorporator |
| DAVIS, DELINDA MD | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1993-08-30 | Capital Change | $1,000 Authorized --- Paid In | $5,000 Authorized undefined Paid In |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
