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MEDAC, P.C.

Details

Name: MEDAC, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 02 Oct 2002 (22 years ago)
Entity Number: 000-225-799
Register Number: 000225799
County: Autauga
Place of Formation: Autauga County
Principal Address: PRATTVILLE, AL
Registered Office Street Address: 645 MCQUEEN SMITH RD STE 309PRATTVILLE, AL 36066
Registered Office Street Address ZIP Code: 36066
Authorized Capital: $1,000

Activities FAMILY MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134538572 2014-08-11 2014-08-11 PO BOX 680519, PRATTVILLE, AL, 360680519, US 270 INTERSTATE COMMERCIAL PARK LOOP, PRATTVILLE, AL, 360667361, US

Contacts

Phone +1 334-361-8555
Fax 8669230406

Authorized person

Name DR. JOHNNIE WAYNE STRICKLAND JR.
Role PHYSICIAN/OWNER
Phone 3343618555

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
License Number 16079
State AL
Is Primary Yes

Agent

Name Role
STRICKLAND, JOHNNIE W JR Agent

Incorporator

Name Role
STRICKLAND, JOHNNIE W JR Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State