| Name: | The Foot Group, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 19 Mar 2003 (22 years ago) |
| Entity Number: | 000-228-100 |
| Register Number: | 000228100 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | MADISON, AL |
| Registered Office Street Address: | 131 WEST DUBLIN DRIVE STE AMADISON, AL 35758 |
| Registered Office Street Address ZIP Code: | 35758 |
| Authorized Capital: | $1,000 |
Activities
PODIATRIC MEDICINE PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154684819 | 2012-06-18 | 2020-04-19 | PO BOX 6487, HUNTSVILLE, AL, 358130487, US | 205 N MALONE ST, ATHENS, AL, 356111509, US | |||||||||||||||||||||||||
|
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| Phone | +1 256-772-8566 |
| Fax | 2567748211 |
| Phone | +1 256-232-2009 |
Authorized person
| Name | DR. TARA L.F. BLASINGAME |
| Role | PRESIDENT |
| Phone | 2562322009 |
Taxonomy
| Taxonomy Code | 213ES0131X - Foot Surgery Podiatrist |
| License Number | 164 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 261QP1100X - Podiatric Clinic/Center |
| Is Primary | No |
| Name | Role |
|---|---|
| BLASINGAME, TARA L F | Agent |
| Name | Role |
|---|---|
| BLASINGAME, TARA L F | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
