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Covid Clinic, Inc.

Details

Name: Covid Clinic, Inc.
Jurisdiction: Alabama
Legal type: Foreign Non-Profit Corporation
Status: Withdrawn
Date of registration: 07 Apr 2020 (5 years ago)
Entity Number: 000-823-357
Register Number: 000823357
ZIP code: 36303
County: Houston
Place of Formation: California
Principal Address: 212 W. Troy St. STE BDothan, AL 36303

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770101990 2020-07-14 2024-01-05 1005 W MARKET ST STE 7, ATHENS, AL, 356112454, US 1005 W MARKET ST STE 7, ATHENS, AL, 356112454, US

Contacts

Phone +1 256-216-9744

Authorized person

Name SEBRINA HOLT
Role DIRECTOR OF PHYSICIAN NETWORK
Phone 2562169648

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role
Northwest Registered Agent service I Agent

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State