Name: | INTERNAL MEDICINE & PEDIATRIC CONSULTANTS, PC |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 13 Oct 2020 (4 years ago) |
Entity Number: | 000-745-689 |
Register Number: | 000745689 |
County: | Houston |
Place of Formation: | Alabama |
Principal Address: | 113 CAMELIA DRDOTHAN, AL 36303 |
Principal Address ZIP Code: | 36303 |
Authorized Capital: | 1000 @ S1.00PV |
Activities
MEDICAL CONSULTATIONS
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1982351235 | 2022-03-07 | 2023-06-26 | PO BOX 8608, DOTHAN, AL, 363040608, US | 1108 ROSS CLARK CIR FL 4, DOTHAN, AL, 363013022, US | |||||||||||||||||||||
|
Phone | +1 334-796-9171 |
Authorized person
Name | JUSTIN G HOVEY |
Role | OWNER |
Phone | 3342763214 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | No |
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Taxonomy Code | 208000000X - Pediatrics Physician |
Is Primary | No |
Name | Role | Address |
---|---|---|
HOVEY, JUSTIN G | Agent | 113 CAMELIA DRDOTHAN, AL 36303 |
Name | Role | Address |
---|---|---|
HOVEY, JUSTIN G | Incorporator | 113 CAMELIA DRDOTHAN, AL 36303 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State