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Complete Family Health Care, P.C.

Details

Name: Complete Family Health Care, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 05 Apr 2002 (23 years ago)
Entity Number: 000-222-182
Register Number: 000222182
Historical Names: Grayson Valley Family Practice, P.C.
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 5577 CHALKVILLE RDBIRMINGHAM, AL 35235
Registered Office Street Address ZIP Code: 35235
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801986807 2006-10-13 2020-10-27 5577 CHALKVILLE RD, BIRMINGHAM, AL, 352352171, US 5577 CHALKVILLE RD, BIRMINGHAM, AL, 352352171, US

Contacts

Phone +1 205-853-3533
Fax 2058563808

Authorized person

Name DR. JOHN JOSEPH DAVIS
Role CHAIRMAN, BOARD OF DIRECTORS
Phone 2058533533

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number 00012531
State AL
Is Primary Yes

Agent

Name Role Address
DAVIS, JOHN J Agent 11225 COLLEGE BLVD., STE 302 OVERLAOVERLAND PARK, KS 66210

Incorporator

Name Role Address
DAVIS, JOHN J Incorporator 11225 COLLEGE BLVD., STE 302 OVERLAOVERLAND PARK, KS 66210

Events

Event Date Event Type Old Value New Value
2014-12-10 Name Change Grayson Valley Family Practice, P.C. Complete Family Health Care, P.C.

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State