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
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 | |||||||||||||||||
|
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 |
Name | Role |
---|---|
HARDY, DAVID | Incorporator |
Name | Role |
---|---|
HARDY, DAVID | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State