| Name: | Family Health of Hartselle, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 14 Mar 2001 (24 years ago) (Companies founded in March 2001) |
| Entity Number: | 000-215-380 |
| Register Number: | 000215380 |
| ZIP code: | 35640 (Companies in Morgan, 35640) |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Principal Address: | HARTSELLE, AL |
| Registered Office Street Address: | 1635 HIGHWAY 31 NW STE CHARTSELLE, AL 35640 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
PRACTICE OF FAMILY MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982780185 | 2006-10-31 | 2007-11-02 | 1006 HILL ST SW, HARTSELLE, AL, 356402802, US | 1006 HILL ST SW, HARTSELLE, AL, 356402802, US | |||||||||||||||||||
|
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| Phone | +1 256-773-9756 |
| Fax | 2567739401 |
Authorized person
| Name | KENNETH ERIC MASHBURN |
| Role | OWNER |
| Phone | 2567739756 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 19376 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MASHBURN, K ERIC | Agent |
| Name | Role |
|---|---|
| MASHBURN, K ERIC | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
