| Name: | Michelle R. Grana, DO; P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 19 Aug 2016 (8 years ago) |
| Entity Number: | 000-369-957 |
| Register Number: | 000369957 |
| County: | Limestone |
| Place of Formation: | Limestone County |
| Principal Address: | 1806 BROOKMEADE AVENUEATHENS, AL 35611 |
| Principal Address ZIP Code: | 35611 |
| Authorized Capital: | 1000 @ $1.00PV |
Activities
MEDICAL HEALTH CARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750837068 | 2016-08-27 | 2019-12-05 | 470 PROVIDENCE MAIN ST NW STE 302A, HUNTSVILLE, AL, 358064843, US | 470 PROVIDENCE MAIN ST NW STE 302A, HUNTSVILLE, AL, 358064843, US | |||||||||||||||||||
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| Phone | +1 256-429-2212 |
| Fax | 2568670995 |
Authorized person
| Name | DR. MICHELLE R GRANA |
| Role | PRESIDENT |
| Phone | 2564292212 |
Taxonomy
| Taxonomy Code | 204D00000X - Neuromusculoskeletal Medicine & OMM Physician |
| Is Primary | Yes |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GRANA, MICHELLE R | Incorporator | 1806 BROOKMEADE AVENUEATHENS, AL 35611 |
| Name | Role | Address |
|---|---|---|
| GRANA, MICHELLE R | Agent | 1806 BROOKMEADE AVENUEATHENS, AL 35611 |
| Name | Role | Address |
|---|---|---|
| GRANA, MICHELLE R | Director | 1806 BROOKMEADE AVENUEATHENS, AL 35611 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
