| Name: | North Baldwin Physicians For Women, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 15 Jul 2009 (15 years ago) |
| Entity Number: | 000-261-493 |
| Register Number: | 000261493 |
| County: | Baldwin |
| Place of Formation: | Mobile County |
| Principal Address: | BAY MINETTE, AL |
| Registered Office Street Address: | 2002 MEDICAL CENTER DRBAY MINETTE, AL 36507 |
| Registered Office Street Address ZIP Code: | 36507 |
| Authorized Capital: | 1 NPV |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174753552 | 2009-07-21 | 2009-11-25 | 2002 MEDICAL CENTER DR, BAY MINETTE, AL, 365074163, US | 2002 MEDICAL CENTER DR, BAY MINETTE, AL, 365074163, US | |||||||||||||||||||
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| Phone | +1 251-937-5377 |
| Fax | 2519375352 |
Authorized person
| Name | DR. MICHAEL CLARK |
| Role | PRESIDENT |
| Phone | 2519375377 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| License Number | 28952 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CLARK, MICHAEL | Agent | 26935 COPELAND ROADATHENS, AL 35613 |
| Name | Role | Address |
|---|---|---|
| HUBBARD, BRUCE B | Incorporator | 238 WEST JERICHO TURNPIKEHUNTINGTON STATION, NY 11746 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
