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Anniston Wellness Center P.C.

Details

Name: Anniston Wellness Center P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 20 Jun 2005 (19 years ago)
Entity Number: 000-242-109
Register Number: 000242109
County: Calhoun
Place of Formation: Calhoun County
Principal Address: ANNISTON, AL
Registered Office Street Address: 2417 AL HWY 202ANNISTON, AL 36201
Registered Office Street Address ZIP Code: 36201
Authorized Capital: 1,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477527034 2006-02-13 2009-08-21 1400 LEIGHTON AVE, ANNISTON, AL, 362073827, US 1400 LEIGHTON AVE, ANNISTON, AL, 362073827, US

Contacts

Phone +1 256-237-7990
Fax 2562378881

Authorized person

Name DR. VISHWANATH MUKKAMALLA REDDY
Role PRESIDENT
Phone 2562377990

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number 24178
State AL
Is Primary Yes

Agent

Name Role
REDDY, VISHWANATH M Agent

Incorporator

Name Role
ALUGBELLI, RAJ Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State