| Name: | Advanced Foot Care, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 05 Mar 1999 (26 years ago) |
| Entity Number: | 000-201-598 |
| Register Number: | 000201598 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 348 ST LUKES DRIVEMONTGOMERY, AL 36117 |
| Registered Office Street Address ZIP Code: | 36117 |
| Authorized Capital: | $1,000 |
Activities
PROFESSIONAL PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467647446 | 2007-09-12 | 2007-12-20 | 7956 VAUGH RODE, #193, MONTGOMERY, AL, 36116, US | 348 SAINT LUKES DR, MONTGOMERY, AL, 361177108, US | |||||||||||||||||||||||||||
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| Phone | +1 334-233-3364 |
| Fax | 3342713768 |
| Phone | +1 334-271-3333 |
Authorized person
| Name | DR. THERESA IOLA BROWN |
| Role | CEO/OWNER |
| Phone | 3342713333 |
Taxonomy
| Taxonomy Code | 213EP1101X - Primary Podiatric Medicine Podiatrist |
| License Number | 134 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS OF ALABAMA |
| Number | 08630 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| BROWN, THERESA I | Agent | 3966 ATLANTA HIGHWAY #327MONTGOMERY, AL 36116 |
| Name | Role | Address |
|---|---|---|
| BROWN, THERESA I | Incorporator | 3966 ATLANTA HIGHWAY #327MONTGOMERY, AL 36116 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
