| Name: | Cullman Physical Medicine, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 28 Dec 2007 (17 years ago) |
| Entity Number: | 000-255-564 |
| Register Number: | 000255564 |
| County: | Cullman |
| Place of Formation: | Cullman County |
| Registered Office Street Address: | 1701 MAIN AVE SWCULLMAN, AL 35055 |
| Registered Office Street Address ZIP Code: | 35055 |
| Principal Address: | CULLMAN, AL |
| Authorized Capital: | $100 |
| Paid Share Capital: | $100 |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467636829 | 2007-12-20 | 2007-12-20 | PO BOX 870, CULLMAN, AL, 350560870, US | 1701 MAIN AVE SW, SUITE D, CULLMAN, AL, 350555299, US | |||||||||||||||
|
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| Phone | +1 256-775-0432 |
| Phone | +1 256-736-8998 |
Authorized person
| Name | THEODORE SCOTT POWERS |
| Role | OWNER/PHYSICIAN |
| Phone | 2567368998 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| POWERS, THEODORE S | Agent |
| Name | Role |
|---|---|
| POWERS, THEODORE S | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
