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Valley Internal Medicine and Pediatrics, P.C.

Details

Name: Valley Internal Medicine and Pediatrics, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 10 Dec 2004 (20 years ago)
Entity Number: 000-238-675
Register Number: 000238675
County: Morgan
Place of Formation: Morgan County
Principal Address: DECATUR, AL
Registered Office Street Address: 2506 DANVILLE RD STE 206DECATUR, AL 35603
Registered Office Street Address ZIP Code: 35603
Authorized Capital: $5,000

Activities PRACTICE MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699168237 2015-03-06 2015-03-09 2506 DANVILLE RD SW # B, DECATUR, AL, 356034232, US 2506 DANVILLE RD SW # B, DECATUR, AL, 356034232, US

Contacts

Phone +1 256-350-0906

Authorized person

Name DR. NERMEIN LOTFY
Role PRACTICE MANAGER
Phone 2563500906

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number 1-135449
State AL
Is Primary Yes

Agent

Name Role
HAGGAG, AKRAM Agent

Incorporator

Name Role
PRIEST, CHRISTOPHER M Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State