| Name: | Stephen F. Blackstock, M.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 25 Feb 2004 (21 years ago) |
| Entity Number: | 000-233-803 |
| Register Number: | 000233803 |
| County: | Etowah |
| Place of Formation: | Etowah County |
| Principal Address: | GADSDEN, AL |
| Registered Office Street Address: | 300 MEDICAL CENTER DR STE 100GADSDEN, AL 35903 |
| Registered Office Street Address ZIP Code: | 35903 |
| Authorized Capital: | 100 NPV |
Activities
ORTHOPEDIC SPORTS MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700945011 | 2006-12-06 | 2020-08-22 | 300 MEDICAL CENTER DR, SUITE 100, GADSDEN, AL, 359031157, US | 300 MEDICAL CENTER DR, SUITE 100, GADSDEN, AL, 359031157, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 256-492-2663 |
| Fax | 2564928620 |
Authorized person
| Name | DR. STEPHEN FEW BLACKSTOCK |
| Role | PRESIDENT |
| Phone | 2564922663 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BLACKSTOCK, STEPHEN F | Agent |
| Name | Role |
|---|---|
| BLACKSTOCK, STEPHEN F | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
