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
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 | |||||||||||||||||
|
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 |
Name | Role |
---|---|
HAGGAG, AKRAM | Agent |
Name | Role |
---|---|
PRIEST, CHRISTOPHER M | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State