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Alabama Pediatric Gastroenterology, PC

Details

Name: Alabama Pediatric Gastroenterology, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 06 Jan 2006 (19 years ago) (Companies founded in January 2006)
Entity Number: 000-244-972
Register Number: 000244972
ZIP code: 35117 (Companies in Jefferson, 35117)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: VESTAVIA, AL
Registered Office Street Address: 2001 FIELDSTOWN ROADMT OLIVE, AL 35117
Authorized Capital: $1,000

Activities PRACTICE OF PEDIATRIC GASTROENTEROLOGY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003901240 2006-10-04 2007-09-11 2151 HIGHLAND AVE S, SUITE 225, BIRMINGHAM, AL, 352054079, US 2151 HIGHLAND AVE S, SUITE 225, BIRMINGHAM, AL, 352054079, US

Contacts

Phone +1 205-933-5744
Fax 2059336666

Authorized person

Name CARY CAVENDAR
Role PHYSICIAN
Phone 2059335744

Taxonomy

Taxonomy Code 2080P0206X - Pediatric Gastroenterology Physician
Is Primary Yes

Agent

Name Role
KING, STEVEN Agent

Incorporator

Name Role
CAVENDER, CARY Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State