| Name: | Gadsden Women's Clinic, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 26 Jun 2007 (17 years ago) (Companies founded in June 2007) |
| Entity Number: | 000-253-259 |
| Register Number: | 000253259 |
| 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 102GADSDEN, AL 35903 |
| Authorized Capital: | $1,000 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114127917 | 2007-07-19 | 2007-07-19 | 300 MEDICAL CENTER DR, SUITE 102, GADSDEN, AL, 359031157, US | 300 MEDICAL CENTER DR, SUITE 102, GADSDEN, AL, 359031157, US | |||||||||||||||||||||||
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| Phone | +1 256-492-7830 |
Authorized person
| Name | DR. MARIAN SUZANNE GILLILAND |
| Role | OWNER |
| Phone | 2564927830 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 26570 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1841341153 |
| State | AL |
| Name | Role |
|---|---|
| GILLILAND, MARIAN SUZANNE | Agent |
| Name | Role |
|---|---|
| GILLILAND, MARIAN SUZANNE | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
