| Name: | Selma Family Care, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 31 Jan 2018 (7 years ago) |
| Entity Number: | 000-508-119 |
| Register Number: | 000508119 |
| County: | Dallas |
| Place of Formation: | Dallas County |
| Registered Office Street Address: | 101 OLD MARION JUNCTION ROADSELMA, AL 36701 |
| Registered Office Street Address ZIP Code: | 36701 |
| Principal Address: | 203 VAUGHAN MEMORIAL DRIVESELMA, AL 36701 |
| Principal Address ZIP Code: | 36701 |
| Authorized Capital: | 2,000 @ $/PV |
Activities
RENDER PROFESSIONAL MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750870812 | 2018-05-04 | 2018-05-04 | PO BOX 570, SELMA, AL, 367020570, US | SELMA FAMILY CARE, PC, 203 VAUGHAN MEMORIAL DRIVE, SELMA, AL, 367016950, US | |||||||||||||
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| Phone | +1 334-375-8007 |
Authorized person
| Name | SEAN B BOHANNON |
| Role | OWNER/ |
| Phone | 3343758007 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOHANNAN, SEAN B | Agent | 101 OLD MARION JUNCTION ROADSELMA, AL 36701 |
| Name | Role | Address |
|---|---|---|
| BOHANNAN, SEAN B | Director | 101 OLD MARION JUNCTION ROADSELMA, AL 36701 |
| Name | Role | Address |
|---|---|---|
| BOHANNAN, SEAN B | Incorporator | 101 OLD MARION JUNCTION ROADSELMA, AL 36701 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
