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Coosa Valley Pediatrics, P.C.

Details

Name: Coosa Valley Pediatrics, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 10 Jul 2007 (17 years ago) (Companies founded in July 2007)
Entity Number: 000-253-396
Register Number: 000253396
ZIP code: 35150 (Companies in Talladega, 35150)
County: Talladega
Place of Formation: Talladega County
Principal Address: SYLACAUGA, AL
Registered Office Street Address: 209 WEST SPRING STSYLACAUGA, AL 35150
Authorized Capital: $100

Activities PROFESSIONAL MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356531099 2007-07-30 2007-07-30 209 W SPRING ST, SUITE 304, SYLACAUGA, AL, 351502973, US 209 W SPRING ST, SUITE 304, SYLACAUGA, AL, 351502973, US

Contacts

Phone +1 256-208-0060

Authorized person

Name DAVID W HARDY
Role PRESIDENT
Phone 2562080060

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
License Number 28055
State AL
Is Primary Yes

Incorporator

Name Role
HARDY, DAVID Incorporator

Agent

Name Role
HARDY, DAVID Agent

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State