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 |
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 | |||||||||||||||
|
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 |
Name | Role |
---|---|
REILAND, DEBORA S | Agent |
Name | Role |
---|---|
REILAND, DEBORA S | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State