| Name: | Chilton Pediatrics, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 21 Jun 2000 (24 years ago) |
| Date of dissolution: | 12 Mar 2012 |
| Entity Number: | 000-210-474 |
| Register Number: | 000210474 |
| County: | Chilton |
| Place of Formation: | Chilton County |
| Principal Address: | CLANTON, AL |
| Registered Office Street Address: | 303 1ST STREET NORTHCLANTON, AL 35045 |
| Registered Office Street Address ZIP Code: | 35045 |
| Authorized Capital: | $1,000 |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235299777 | 2006-12-12 | 2020-08-22 | PO BOX 689, CLANTON, AL, 350460689, US | 303 1ST ST N, CLANTON, AL, 350453418, US | |||||||||||||||||||
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| Phone | +1 205-280-3333 |
| Fax | 2052804135 |
Authorized person
| Name | MR. HERBERT HERRERA |
| Role | OFFICE MANAGER |
| Phone | 2052803333 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | 19174 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CREUS, CHRISTINE | Agent |
| Name | Role |
|---|---|
| CREUS, CHRISTINE | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
