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
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 | |||||||||||||||
|
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 |
Name | Role |
---|---|
KOLB, DEBORAH BOOHER | Agent |
Name | Role |
---|---|
KOLB, DEBORAH BOOHER | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State