| Name: | Alabama Children's Clinic, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 14 Aug 2014 (10 years ago) (Companies founded in August 2014) |
| Entity Number: | 000-315-989 |
| Register Number: | 000315989 |
| ZIP code: | 35801 (Companies in Madison, 35801) |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 333 WHITESPORT DRIVE SUITE 104HUNTSVILLE, AL 35801 |
| Authorized Capital: | 1000 @ $1.00 PV |
Activities
PRACTICE OF PEDIATRIC MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578962932 | 2014-08-21 | 2014-08-21 | 333 WHITESPORT DR SW, SUITE 104, HUNTSVILLE, AL, 358016454, US | 333 WHITESPORT DR SW, SUITE 104, HUNTSVILLE, AL, 358016454, US | |||||||||||||||||||
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| Phone | +1 256-880-0376 |
| Fax | 2568800395 |
Authorized person
| Name | MS. SYDNEY SCHNUTH |
| Role | INSURANCE CLERK |
| Phone | 2568800376 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | 12774 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THOTAKURA, N R | Agent | 333 WHITESPORT DRIVE SUITE 104HUNTSVILLE, AL 35801 |
| Name | Role | Address |
|---|---|---|
| THOTAKURA, N RAO | Director | 1518 PETERSBURG DRIVEHUNTSVILLE, AL 35802 |
| Name | Role | Address |
|---|---|---|
| THOTAKURA, N R | Incorporator | 333 WHITESPORT DRIVE SUITE 104HUNTSVILLE, AL 35801 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
