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CALHOUN MEDICAL CLINIC, INC.

Details

Name: CALHOUN MEDICAL CLINIC, INC.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 13 Nov 2012 (12 years ago) (Companies founded in November 2012)
Entity Number: 000-270-887
Register Number: 000270887
Place of Formation: Calhoun County
Registered Office Street Address: 1654 PELHAM ROAD SOUTHJACKSONVILLE, AL
Authorized Capital: 1,000 @ $1.00PV
Paid Share Capital: $1,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952719551 2014-07-27 2014-08-22 1700 CHRISTINE AVE, SUITE 102, ANNISTON, AL, 362073812, US 1700 CHRISTINE AVE, SUITE 102, ANNISTON, AL, 362073812, US

Contacts

Phone +1 256-294-7004
Fax 2562947005

Authorized person

Name WYNDOL SPAN HAMER JR.
Role PHYSICIAN
Phone 2562947004

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
License Number 9756
State AL
Is Primary Yes

Agent

Name Role Address
HAMER, WYNDOL S Agent 1654 PELHAM ROAD SOUTHJACKSONVILLE, AL

Director

Name Role Address
HAMER, WYNDOL S Director 1654 PELHAM ROAD SOUTHJACKSONVILLE, AL

Incorporator

Name Role Address
HAMER, NICOLE D Incorporator 1654 PELHAM ROAD SOUTHJACKSONVILLE, AL
HAMER, WYNDOL S Incorporator 1654 PELHAM ROAD SOUTHJACKSONVILLE, AL

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State