| Name: | Greater Huntsville Family Practice, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 08 Aug 1997 (27 years ago) (Companies founded in August 1997) |
| Entity Number: | 000-189-437 |
| Register Number: | 000189437 |
| ZIP code: | 35802 (Companies in Madison, 35802) |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 2089 CECIL ASHBURN DR STE 101HUNTSVILLE, AL 35802 |
| Authorized Capital: | $1,000 |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881960631 | 2012-03-27 | 2012-03-27 | 2089 CECIL ASHBURN DR SE, SUITE 101, HUNTSVILLE, AL, 358022567, US | 2089 CECIL ASHBURN DR SE, SUITE 101, HUNTSVILLE, AL, 358022567, US | |||||||||||||||||||
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| Phone | +1 256-882-6487 |
| Fax | 2568829990 |
Authorized person
| Name | DR. BRYAN DEAN EVANS |
| Role | PRESIDENT |
| Phone | 2568826487 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 18678 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| EVANS, BRYAN D | Agent |
| Name | Role |
|---|---|
| MIDDLETON, RANDLE T | Incorporator |
| EVANS, BRYAN D | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
