| Name: | Riverside Pediatrics of Decatur, LLP |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Registered Limited Liability Partnership |
| Status: | Exists |
| Date of registration: | 11 Mar 2003 (22 years ago) |
| Entity Number: | 000-401-046 |
| Register Number: | 000401046 |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Principal Address: | 1323STRATFORD RD SEDECATUR, AL 35601 |
| Principal Address ZIP Code: | 35601 |
| Registered Office Street Address: | 1304 13TH AVE SE SUITE DDECATUR, AL 35601 |
| Registered Office Street Address ZIP Code: | 35601 |
Activities
MEDICAL OFFICE OF PEDIATRICS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720448897 | 2016-03-02 | 2016-03-02 | 1304 13TH AVE SE STE D, DECATUR, AL, 356014316, US | 1304 13TH AVE SE STE D, DECATUR, AL, 356014316, US | |||||||||||||||||||
|
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| Phone | +1 256-355-1843 |
| Fax | 2563402553 |
Authorized person
| Name | DAVID V PARMER |
| Role | OWNER/PARTNER |
| Phone | 2563551843 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Taxonomy Code | 364SF0001X - Family Health Clinical Nurse Specialist |
| Is Primary | No |
| Name | Role |
|---|---|
| PARMER, DAVID V | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
