Name: | Jeffery Garrard, M.D., P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 21 Apr 2008 (17 years ago) |
Entity Number: | 000-256-988 |
Register Number: | 000256988 |
County: | Madison |
Place of Formation: | Madison County |
Registered Office Street Address: | 4205 BALMORAL DR STE 200HUNTSVILLE, AL 35801 |
Registered Office Street Address ZIP Code: | 35801 |
Principal Address: | HUNTSVILLE, AL |
Authorized Capital: | $1,000 |
Activities
MEDICAL PRACTICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1558536474 | 2008-04-23 | 2008-04-23 | 4205 BALMORAL DR SW STE 200, HUNTSVILLE, AL, 358017421, US | 4205 BALMORAL DR SW STE 200, HUNTSVILLE, AL, 358017421, US | |||||||||||||||||||
|
Phone | +1 256-382-7767 |
Fax | 2568805262 |
Authorized person
Name | DR. JEFFERY GARRARD |
Role | PRESIDENT |
Phone | 2563827767 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Taxonomy Code | 207QS0010X - Sports Medicine (Family Medicine) Physician |
Is Primary | No |
Name | Role |
---|---|
GARRARD, JEFFERY | Incorporator |
Name | Role |
---|---|
GARRARD, JEFFERY | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State