| Name: | Donald E. Beach, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 24 Oct 2005 (19 years ago) |
| Entity Number: | 000-243-939 |
| Register Number: | 000243939 |
| County: | Lawrence |
| Place of Formation: | Lawrence County |
| Registered Office Street Address: | 295 HOSPITAL STREETMOULTON, AL 35650 |
| Registered Office Street Address ZIP Code: | 35650 |
| Principal Address: | MOULTON, AL |
| Authorized Capital: | 100 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063434108 | 2006-07-25 | 2013-08-27 | 633 LAWRENCE ST, MOULTON, AL, 356501532, US | 633 LAWRENCE ST, MOULTON, AL, 356501532, US | |||||||||||||||||||
|
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| Phone | +1 256-974-6646 |
| Fax | 2569748654 |
Authorized person
| Name | DR. DONALD E BEACH |
| Role | OWNER |
| Phone | 2569746646 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 00009068 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BEACH, DONALD E | Agent |
| Name | Role |
|---|---|
| BEACH, DONALD E | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
