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Christenberry Clinic, P.C.

Details

Name: Christenberry Clinic, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 17 Nov 2006 (18 years ago) (Companies founded in November 2006)
Entity Number: 000-249-987
Register Number: 000249987
ZIP code: 35903 (Companies in Etowah, 35903)
County: Etowah
Place of Formation: Etowah County
Principal Address: GADSDEN, AL
Registered Office Street Address: 300 MEDICAL CENTER DR STE 402GADSDEN, AL 35903
Authorized Capital: $1,000

Activities PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710027388 2007-02-06 2020-08-22 300 MEDICAL CENTER DR, SUITE 402, GADSDEN, AL, 359031157, US 300 MEDICAL CENTER DR, SUITE 402, GADSDEN, AL, 359031157, US

Contacts

Phone +1 256-492-5002
Fax 2564925442

Authorized person

Name DR. KYLE P CHRISTENBERRY
Role OWNER
Phone 2564925002

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number 18413
State AL
Is Primary Yes

Agent

Name Role
CHRISTENBERRY, KYLE Agent

Incorporator

Name Role
CHRISTENBERRY, KYLE Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State