| Name: | Akins Medical Clinic, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 09 Apr 1999 (26 years ago) (Companies founded in April 1999) |
| Entity Number: | 000-202-078 |
| Register Number: | 000202078 |
| Place of Formation: | Etowah County |
| Principal Address: | GADSDEN, AL |
| Registered Office Street Address: | 303 BAY ST STE 202GADSDEN, AL |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003824236 | 2006-08-03 | 2024-08-09 | PO BOX 629, GADSDEN, AL, 359020629, US | 200 S 3RD ST, GADSDEN, AL, 359014210, US | |||||||||||||||||||||||||
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| Phone | +1 256-543-3072 |
| Fax | 2565433016 |
Authorized person
| Name | DR. OLAJIDE MORAKINYO AKINSANYA |
| Role | DOCTOR |
| Phone | 2565433072 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 18810 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000008431 |
| State | AL |
| Name | Role |
|---|---|
| AKINSANYA, OLAJIDE | Agent |
| Name | Role |
|---|---|
| AKINSANYA, OLAJIDE | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
