| Name: | Hughston Medical Group, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Professional Corporation |
| Status: | Exists |
| Date of registration: | 19 Mar 2019 (6 years ago) |
| Entity Number: | 000-586-777 |
| Register Number: | 000586777 |
| County: | Montgomery |
| Place of Formation: | Georgia |
| Principal Address: | 6262 VETERANS PARKWAYCOLUMBUS, GA 31909 |
| Principal Mailing Address: | PO BOX 9517COLUMBUS, GA 31908 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET STE 605MONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922715457 | 2022-11-03 | 2023-08-18 | PO BOX 370, FORTSON, GA, 318080370, US | 277 HUNTRESS ST STE 202, WETUMPKA, AL, 360923342, US | |||||||||||||
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| Phone | +1 334-274-9000 |
Authorized person
| Name | AMANDA FROMKIN |
| Role | CRED MGR |
| Phone | 7064943071 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
