| Name: | The Clinic of Gadsden, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 24 Oct 2017 (7 years ago) (Companies founded in October 2017) |
| Entity Number: | 000-406-686 |
| Register Number: | 000406686 |
| ZIP code: | 35901 (Companies in Etowah, 35901) |
| County: | Etowah |
| Place of Formation: | Etowah County |
| Registered Office Street Address: | 1401 RAINBOW DRIVE SUITE BGADSDEN, AL 35901 |
| Authorized Capital: | 1000 @ $1.00 PV |
Activities
ENGAGE IN THE PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427566181 | 2018-01-16 | 2018-01-29 | PO BOX 860, GADSDEN, AL, 359020860, US | 1401 RAINBOW DR STE B, GADSDEN, AL, 359015319, US | |||||||||||||||||||||
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| Phone | +1 256-646-6358 |
Authorized person
| Name | JONATHAN HUBBARD FULLER |
| Role | CEO |
| Phone | 2566466358 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | DO.1762 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| FULLER, JONATHAN H | Agent | 4213 COUNTRY CLUB DRIVEMERIDIAN, MS 39305 |
| Name | Role | Address |
|---|---|---|
| FULLER, JONATHAN H | Director | 4213 COUNTRY CLUB DRIVEMERIDIAN, MS 39305 |
| Name | Role | Address |
|---|---|---|
| FULLER, JONATHAN H | Incorporator | 4213 COUNTRY CLUB DRIVEMERIDIAN, MS 39305 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
