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North Alabama Family Practice, P.C.

Details

Name: North Alabama Family Practice, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 28 Jul 1989 (35 years ago)
Entity Number: 000-132-186
Register Number: 000132186
County: Etowah
Place of Formation: Etowah County
Principal Address: ATTALLA, AL
Registered Office Street Address: 515 3RD STREET NWATTALLA, AL 35954
Registered Office Street Address ZIP Code: 35954
Authorized Capital: $1,000

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851426068 2007-02-21 2020-08-22 11744 US HIGHWAY 431, BOAZ, AL, 359562104, US 11744 US HIGHWAY 431, BOAZ, AL, 359562104, US

Contacts

Phone +1 256-593-0251
Fax 2565930076

Authorized person

Name DR. DEBORA SUSAN REILAND
Role PHYSICIAN PARTNER
Phone 2565930251

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role
REILAND, DEBORA S Agent

Incorporator

Name Role
REILAND, DEBORA S Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State