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Deborah Booher Kolb, M.D., P.C.

Details

Name: Deborah Booher Kolb, M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 03 May 2001 (24 years ago)
Entity Number: 000-216-269
Register Number: 000216269
County: Madison
Place of Formation: Madison County
Principal Address: MADISON, AL
Registered Office Street Address: 8371 HIGHWAY 72 W STE 200MADISON, AL 35758
Registered Office Street Address ZIP Code: 35758
Authorized Capital: $100

Activities PRACTICE MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982913463 2010-09-30 2010-09-30 8371 HIGHWAY 72 W, SUITE 200, MADISON, AL, 357589505, US 8371 HIGHWAY 72 W, SUITE 200, MADISON, AL, 357589505, US

Contacts

Phone +1 256-722-0664
Fax 2567220285

Authorized person

Name DEBORAH BOOHER KOLB
Role OWNER
Phone 2567220664

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role
KOLB, DEBORAH BOOHER Agent

Incorporator

Name Role
KOLB, DEBORAH BOOHER Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State