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Magnolia Pediatrics South, Inc.

Details

Name: Magnolia Pediatrics South, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 31 Mar 1994 (31 years ago)
Entity Number: 000-163-411
Register Number: 000163411
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 1025 SOUTH 23RD STBIRMINGHAM, AL 35205
Registered Office Street Address ZIP Code: 35205
Authorized Capital: $10,000
Paid Share Capital: $1,000

Activities PROFESSIONAL SERVICES RENDERING DOCTOR OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760442164 2006-03-28 2020-08-22 1621 11TH AVE S, BIRMINGHAM, AL, 352054703, US 1621 11TH AVE S, BIRMINGHAM, AL, 352054703, US

Contacts

Phone +1 205-930-9500

Authorized person

Name DR. PAUL AMAMOO
Role SECT-TREASURER
Phone 2059309500

Taxonomy

Taxonomy Code 2080A0000X - Pediatric Adolescent Medicine Physician
Is Primary Yes

Agent

Name Role Address
AMAMOO, PAUL Agent 2201 1ST AVE N STE 6ABIRMINGHAM, AL 35203

Incorporator

Name Role Address
AMAMOO, PAUL Incorporator 2201 1ST AVE N STE 6ABIRMINGHAM, AL 35203
STEWART, JACQUELINE Incorporator No data

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State