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Lifestyle Management of Birmingham, Inc.

Details

Name: Lifestyle Management of Birmingham, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 11 Feb 1999 (26 years ago) (Companies founded in February 1999)
Entity Number: 000-200-883
Register Number: 000200883
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 10 OLD MONTGOMERY HWY SUITE 100BIRMINGHAM, AL 35209
Authorized Capital: $100
Paid Share Capital: $100

Activities MAINTAIN/OPERATE A MEDICAL OFFICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003004284 2007-10-12 2014-05-29 10 OLD MONTGOMERY HWY, SUITE 100, BIRMINGHAM, AL, 352096737, US 10 OLD MONTGOMERY HWY, SUITE 100, BIRMINGHAM, AL, 352096737, US

Contacts

Phone +1 205-949-1900
Fax 2059491919

Authorized person

Name MRS. BRITTANY D LIMBAUGH
Role PRACTICE MANAGER
Phone 2059491912

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number 8362
State AL
Is Primary Yes

Agent

Name Role Address
MCLEAN, BARRY Agent 10 OLD MONTGOMERY HIGHWAY SUITE 100HOMEWOOD, AL 35209

Incorporator

Name Role Address
MCLEAN, BARRY Incorporator 10 OLD MONTGOMERY HIGHWAY SUITE 100HOMEWOOD, AL 35209

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State