Name: | Riverbend Family Medicine, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 29 Aug 2002 (22 years ago) (Companies founded in August 2002) |
Entity Number: | 000-224-772 |
Register Number: | 000224772 |
ZIP code: | 35747 (Companies in Marshall, 35747) |
County: | Marshall |
Place of Formation: | Marshall County |
Principal Address: | GRANT, AL |
Registered Office Street Address: | 91 2ND AVE EGRANT, AL 35747 |
Authorized Capital: | $5,000 |
Paid Share Capital: | $1,000 |
Activities
PROFESSIONAL MEDICAL SVC
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1578646774 | 2006-10-23 | 2007-11-20 | 406 TAYLOR ST STE A, SCOTTSBORO, AL, 357682406, US | 406 TAYLOR ST STE A, SCOTTSBORO, AL, 357682406, US | |||||||||||||||
|
Phone | +1 256-574-1050 |
Fax | 2565741045 |
Authorized person
Name | MONICA COPELAND |
Role | BILLING MGR |
Phone | 2565321888 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
TUCKER, J PATRICK | Incorporator | 818 DODDS COVE ROADSCOTTSBORO, AL 35769 |
TUCKER, STACY A | Incorporator | No data |
Name | Role | Address |
---|---|---|
TUCKER, J PATRICK | Agent | 818 DODDS COVE ROADSCOTTSBORO, AL 35769 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State