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Scottsboro Internal Medicine, P.C.

Details

Name: Scottsboro Internal Medicine, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 04 Mar 2009 (16 years ago) (Companies founded in March 2009)
Entity Number: 000-260-218
Register Number: 000260218
ZIP code: 35768 (Companies in Jackson, 35768)
County: Jackson
Place of Formation: Jackson County
Principal Address: SCOTTSBORO, AL
Registered Office Street Address: 506 HARLEY STSCOTTSBORO, AL 35768
Authorized Capital: $1,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851527923 2009-06-03 2011-10-25 PO BOX 1629, SUITE 400, 1508 SOUTH BROAD STREET, SCOTTSBORO, AL, 357686129, US SUITE 400, 1508 SOUTH BROAD STREET, SCOTTSBORO, AL, 357682668, US

Contacts

Phone +1 256-259-3344
Fax 2562593355

Authorized person

Name JUNAID H MEMON
Role PRESIDENT
Phone 2562593344

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number 24327
State AL
Is Primary Yes

Incorporator

Name Role
MEMON, JUNAID H Incorporator

Agent

Name Role
MEMON, JUNAID H Agent

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State