| Name: | Woodstock Family Medicine, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 26 Oct 2010 (14 years ago) (Companies founded in October 2010) |
| Date of dissolution: | 30 Aug 2017 |
| Entity Number: | 000-265-582 |
| Register Number: | 000265582 |
| ZIP code: | 35188 (Companies in Bibb, 35188) |
| County: | Bibb |
| Place of Formation: | Bibb County |
| Principal Address: | WOODSTOCK, AL |
| Registered Office Street Address: | 28921 HWY 5WOODSTOCK, AL 35188 |
| Authorized Capital: | $5,000 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578863213 | 2010-10-28 | 2011-08-01 | 28921 HIGHWAY 5, WOODSTOCK, AL, 351883613, US | 28921 HIGHWAY 5, WOODSTOCK, AL, 351883613, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 205-938-9348 |
Authorized person
| Name | KAREN BALLARD-MONTGOMERY |
| Role | PRESIDENT |
| Phone | 2059389348 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 20185 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BALLARD-MONTGOMERY, KAREN | Agent |
| Name | Role |
|---|---|
| BALLARD-MONTGOMERY, KAREN | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
