| Name: | K. Sparacino, P. C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 19 May 1997 (27 years ago) |
| Entity Number: | 000-187-615 |
| Register Number: | 000187615 |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Registered Office Street Address: | 1215 7TH STREET SE STE G-300DECATUR, AL 35601 |
| Registered Office Street Address ZIP Code: | 35601 |
| Authorized Capital: | $140 |
Activities
TO RENDER PROFESSIONAL SVCS WITHIN THE PROFESSION OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699838953 | 2006-12-18 | 2023-01-05 | 2828 HIGHWAY 31 S STE 110, DECATUR, AL, 356031538, US | 2828 HIGHWAY 31 S STE 110, DECATUR, AL, 356031538, US | |||||||||||||||||||||
|
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| Phone | +1 256-340-5150 |
| Fax | 2563505153 |
| Fax | 2563405153 |
Authorized person
| Name | DR. KATHY SPARACINO |
| Role | MD |
| Phone | 2563405150 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 16163 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BASWELL, CHERYL | Incorporator |
| Name | Role |
|---|---|
| SPARACINO, KATHY MD | Agent |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
