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Primary Care Consultants, PC

Details

Name: Primary Care Consultants, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 05 Aug 2013 (11 years ago)
Entity Number: 000-285-743
Register Number: 000285743
County: Houston
Place of Formation: Houston County
Principal Mailing Address: 109 RIVERWALK CTDOTHAN, AL 36303
Principal Mailing Address ZIP Code: 36303
Principal Address: 1108 ROSS CLARK CIRCLE STE 310DOTHAN, AL 36301
Principal Address ZIP Code: 36301
Authorized Capital: 100

Activities PRACTICE OF PRIMARY CARE MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437583598 2013-08-26 2013-10-09 1118 ROSS CLARK CIR, STE 310, DOTHAN, AL, 363013001, US 1118 ROSS CLARK CIR, STE 310, DOTHAN, AL, 363013001, US

Contacts

Phone +1 334-669-3212
Fax 3346993213
Phone +1 334-699-3212

Authorized person

Name ADETUNJI ADARALOYE
Role OWNER
Phone 3346993212

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number DO.1201
State AL
Is Primary Yes

Director

Name Role Address
ADARALOYE, ADETUNJI A Director 109 RIVERWALK CTDOTHAN, AL 36303

Incorporator

Name Role Address
ADARALOYE, ADETUNJI A Incorporator 109 RIVERWALK CTDOTHAN, AL 36303

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State