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INTERNAL MEDICINE & PEDIATRIC CONSULTANTS, PC

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
HOVEY, JUSTIN G Agent 113 CAMELIA DRDOTHAN, AL 36303

Incorporator

Name Role Address
HOVEY, JUSTIN G Incorporator 113 CAMELIA DRDOTHAN, AL 36303

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State