Alabama Center For Reproductive Medicine, PLLC

Contacts

Phone	+1 205-307-0484
Fax	8668292082

Authorized person

Name	JOSEPH BOLEN
Role	CHIEF OPERATING OFFICER
Phone	2053070484

Taxonomy

Taxonomy Code	207VE0102X - Reproductive Endocrinology Physician
Is Primary	Yes

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621111
Sponsor’s telephone number	2053070484
Plan sponsor’s address	2006 BROOKWOOD MED CTR DR STE 302, BIRMINGHAM, AL, 352096823

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621111
Sponsor’s telephone number	2053070484
Plan sponsor’s address	2006 BROOKWOOD MED CTR DR STE 302, BIRMINGHAM, AL, 352096823

Signature of

Role	Plan administrator
Date	2023-06-07
Name of individual signing	EMMA WILLIAMS

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621111
Sponsor’s telephone number	2053070484
Plan sponsor’s address	SUITE 302, BIRMINGHAM, AL, 35209

Signature of

Role	Plan administrator
Date	2022-08-18
Name of individual signing	JOSEPH BOLEN