| Name: | Belinda Maples, M.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 18 Jun 2003 (21 years ago) (Companies founded in June 2003) |
| Entity Number: | 000-229-607 |
| Register Number: | 000229607 |
| ZIP code: | 35611 (Companies in Limestone, 35611) |
| County: | Limestone |
| Place of Formation: | Limestone County |
| Principal Address: | ATHENS, AL |
| Registered Office Street Address: | 108 SANDERS STATHENS, AL 35611 |
| Authorized Capital: | $5,000 |
| Paid Share Capital: | $1,000 |
Activities
PRACTICE MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346318474 | 2006-11-30 | 2015-05-20 | 101 FITNESS WAY, SUITE 1200, ATHENS, AL, 356112492, US | 101 FITNESS WAY, SUITE 1200, ATHENS, AL, 356112492, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 256-232-0636 |
| Fax | 2562321058 |
Authorized person
| Name | MS. RENEE T STUBBLEFIELD |
| Role | OFFICE MANAGER |
| Phone | 2562320636 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 20182 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| License Number | 20182 |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529917320 |
| State | AL |
| Name | Role |
|---|---|
| MAPLES, BELINDA | Agent |
| Name | Role |
|---|---|
| MAPLES, BELINDA | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
