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Piedmont Kids Care, P.C.

Details

Name: Piedmont Kids Care, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 20 Jul 2004 (20 years ago)
Date of dissolution: 06 Oct 2017
Entity Number: 000-236-502
Register Number: 000236502
County: Calhoun
Place of Formation: Calhoun County
Principal Address: PIEDMONT, AL
Registered Office Street Address: 612 CALHOUN STPIEDMONT, AL 36272
Registered Office Street Address ZIP Code: 36272
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821109042 2006-08-31 2020-08-22 612 CALHOUN ST, SUITE 2, PIEDMONT, AL, 362721939, US 612 CALHOUN ST, SUITE 2, PIEDMONT, AL, 362721939, US

Contacts

Phone +1 256-447-2800
Fax 2564472255

Authorized person

Name DR. MAHER GAO
Role PHYSICIAN
Phone 2564472800

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
License Number 23189
State AL
Is Primary Yes

Agent

Name Role
GAO, MAHER Agent

Incorporator

Name Role
GAO, MAHER Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State