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Riverbend Family Medicine, P.C.

Details

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

National Provider Identifier

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

Contacts

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

Incorporator

Name Role Address
TUCKER, J PATRICK Incorporator 818 DODDS COVE ROADSCOTTSBORO, AL 35769
TUCKER, STACY A Incorporator No data

Agent

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