| Name: | Russellville Internal Medicine, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 09 Jul 2007 (17 years ago) (Companies founded in July 2007) |
| Entity Number: | 000-253-343 |
| Register Number: | 000253343 |
| Historical Names: |
Franklin Clinic, P.C.
|
| ZIP code: | 35653 (Companies in Franklin, 35653) |
| County: | Franklin |
| Place of Formation: | Franklin County |
| Principal Address: | RUSSELLVILLE, AL |
| Registered Office Street Address: | 535 GANDY ST NERUSSELLVILLE, AL 35653 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
MEDICAL SERVICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174715296 | 2007-08-13 | 2007-08-13 | PO BOX 516, RUSSELLVILLE, AL, 356530516, US | 535 GANDY ST NE, RUSSELLVILLE, AL, 356531965, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 256-332-1120 |
| Fax | 2563321198 |
Authorized person
| Name | DR. MIRANDA DECKER |
| Role | MD |
| Phone | 2563321120 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 28146 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DECKER, MIRANDA | Agent |
| Name | Role |
|---|---|
| DECKER, MIRANDA | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2007-07-25 | Name Change | Franklin Clinic, P.C. | Russellville Internal Medicine, P.C. |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
