| Name: | Barnes Family Medical Associates, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 19 Oct 1995 (29 years ago) (Companies founded in October 1995) |
| Entity Number: | 000-175-098 |
| Register Number: | 000175098 |
| ZIP code: | 36401 (Companies in Conecuh, 36401) |
| County: | Conecuh |
| Place of Formation: | Conecuh County |
| Principal Address: | EVERGREEN, AL |
| Registered Office Street Address: | RT D BOX 79EVERGREEN, AL 36401 |
| Authorized Capital: | $20 |
| Paid Share Capital: | ---- |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215095237 | 2006-12-04 | 2010-07-29 | 680 WEST FRONT ST, EVERGREEN, AL, 364013005, US | 680 WEST FRONT ST, EVERGREEN, AL, 364013005, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 251-578-5111 |
| Fax | 2515785991 |
Authorized person
| Name | STANLEY BARNES |
| Role | PRESIDENT |
| Phone | 2515785111 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 14585 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529600080 |
| State | AL |
| Issuer | MEDICAID |
| Number | 000081517 |
| State | AL |
| Name | Role |
|---|---|
| BARNES, STANLEY | Agent |
| Name | Role |
|---|---|
| BARNES, STANLEY | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
