| Name: | Jerry V. Mosley, M.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 01 Dec 2006 (18 years ago) (Companies founded in December 2006) |
| Entity Number: | 000-250-184 |
| Register Number: | 000250184 |
| ZIP code: | 35501 (Companies in Walker, 35501) |
| County: | Walker |
| Place of Formation: | Walker County |
| Registered Office Street Address: | 701 E 19TH STJASPER, AL 35501 |
| Principal Address: | JASPER, AL |
| Authorized Capital: | $5,000 |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881253243 | 2019-06-10 | 2019-06-10 | 701 19TH ST E, JASPER, AL, 355015503, US | 701 19TH ST E, JASPER, AL, 355015503, US | |||||||||||||||
|
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| Phone | +1 205-221-1516 |
| Fax | 2053879539 |
Authorized person
| Name | JERRY V MOSLEY |
| Role | M.D. |
| Phone | 2052211516 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MOSLEY, JERRY V | Agent |
| Name | Role |
|---|---|
| MOSLEY, JERRY V | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
