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Chris B. Russell M.D., P.C.

Details

Name: Chris B. Russell M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 01 Apr 2003 (22 years ago)
Entity Number: 000-228-314
Register Number: 000228314
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 204 LOWE AVE STE 6 BLDG 2HUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801
Authorized Capital: $10,000

Activities MEDICINE PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386784007 2007-02-08 2020-08-22 204 LOWE AVE SE, SUITE 6, BLDG 2, HUNTSVILLE, AL, 358014262, US 204 LOWE AVE SE, SUITE 6, BLDG 2, HUNTSVILLE, AL, 358014262, US

Contacts

Phone +1 256-533-0856
Fax 2565337981

Authorized person

Name DR. CHRIS B RUSSELL
Role PRESIDENT
Phone 2565330856

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
License Number 15044
State AL
Is Primary Yes

Agent

Name Role
RUSSELL, CHRIS B Agent

Incorporator

Name Role
RUSSELL, CHRIS B Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State