| Name: | Flint River Family Medicine P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 23 Mar 2018 (7 years ago) (Companies founded in March 2018) |
| Entity Number: | 000-513-667 |
| Register Number: | 000513667 |
| ZIP code: | 35763 (Companies in Madison, 35763) |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | 6388-B #2 HIGHWAY 431 SOUTHOWENS CROSS ROADS, AL 35763 |
| Authorized Capital: | 1000 @ $1.00 PV |
Activities
TO RENDER PROFESSIONAL SERVICES IN THE PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558859157 | 2018-04-29 | 2024-04-29 | 5575 HIGHWAY 431 S STE 104, BROWNSBORO, AL, 357419755, US | 5575 HIGHWAY 431 S STE 104, BROWNSBORO, AL, 357419755, US | |||||||||||||||
|
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| Phone | +1 256-469-6487 |
| Fax | 2565853852 |
Authorized person
| Name | JUSTIN PRICE PRUITT |
| Role | PRESIDENT |
| Phone | 2564696487 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PRUITT, JUSTIN P | Agent | 6388-B #2 HIGHWAY 431 SOUTHOWENS CROSS ROADS, AL 35763 |
| Name | Role | Address |
|---|---|---|
| PRUITT, JUSTIN PRICE | Director | 6388-B #2 HIGHWAY 431 SOUTHOWENS CROSS ROADS, AL 35763 |
| Name | Role | Address |
|---|---|---|
| PRUITT, JUSTIN P | Incorporator | 6388-B #2 HIGHWAY 431 SOUTHOWENS CROSS ROADS, AL 35763 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
