| Name: | Pediatrics Plus, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 22 Jun 2010 (14 years ago) (Companies founded in June 2010) |
| Entity Number: | 000-264-524 |
| Register Number: | 000264524 |
| ZIP code: | 36207 (Companies in Calhoun, 36207) |
| County: | Calhoun |
| Place of Formation: | Calhoun County |
| Principal Address: | ANNISTON, AL |
| Registered Office Street Address: | 429 EAST 9TH STANNISTON, AL 36207 |
| Authorized Capital: | $1,000 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104137439 | 2010-07-01 | 2014-07-02 | 3312 HENRY RD, ANNISTON, AL, 362076344, US | 3312 HENRY RD, ANNISTON, AL, 362076344, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 256-241-2671 |
| Fax | 2562412676 |
Authorized person
| Name | MR. CHARLES EUGENE THOMAS |
| Role | OWNER |
| Phone | 2562412671 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | 14173 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 363LP0200X - Pediatric Nurse Practitioner |
| License Number | 1084368 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 122015 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| THOMAS, CHARLES E | Agent | 3312 HENRY ROADANNISTON, AL 36207 |
| Name | Role | Address |
|---|---|---|
| THOMAS, CHARLES E | Incorporator | 3312 HENRY ROADANNISTON, AL 36207 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
