| Name: | East Alabama Podiatry P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 11 Dec 2017 (7 years ago) |
| Entity Number: | 000-450-529 |
| Register Number: | 000450529 |
| County: | Lee |
| Place of Formation: | Lee County |
| Principal Mailing Address: | 7014 BRIDGEMILL DRIVECOLUMBUS, GA 31904 |
| Principal Address: | 3320 SKYWAY DR, SUITE 802OPELIKA, AL 36801 |
| Principal Address ZIP Code: | 36801 |
| Authorized Capital: | 500 @ $1 PV |
Activities
DOCTOR OFFICE
MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174026454 | 2018-03-13 | 2018-03-13 | PO BOX 597, CLEMMONS, NC, 270120597, US | 3320 SKYWAY DR STE 802, OPELIKA, AL, 368017141, US | |||||||||||||||||||
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| Phone | +1 336-306-9755 |
| Phone | +1 404-538-7019 |
Authorized person
| Name | KETAN C DALSANIA |
| Role | OWNER |
| Phone | 4045387019 |
Taxonomy
| Taxonomy Code | 261QP1100X - Podiatric Clinic/Center |
| License Number | BL001588012018 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DALSANIA, KETAN | Agent | 7014 BRIDGEMILL DRIVECOLUMBUS, GA 31904 |
| Name | Role | Address |
|---|---|---|
| DALSANIA, KETAN | Director | 7014 BRIDGEMILL DRIVECOLUMBUS, GA 31904 |
| Name | Role | Address |
|---|---|---|
| DALSANIA, KETAN | Incorporator | 7014 BRIDGEMILL DRIVECOLUMBUS, GA 31904 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
