| Name: | The Hughston Clinic, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Professional Corporation |
| Status: | Exists |
| Entity Number: | 000-858-719 |
| Register Number: | 000858719 |
| Historical Names: |
Hughston Orthopaedic Clinic, P.C.
|
| ZIP code: | 36831 (Companies in Lee, 36831) |
| County: | Lee |
| Place of Formation: | Georgia |
| Principal Address: | 105 PHYSICIANS BLDGCOLUMBUS, GA |
| Registered Office Street Address: | 161 EAST UNIVERSITY AVENUEAUBURN, AL 36831 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538886056 | 2022-10-25 | 2022-10-26 | PO BOX 370, FORTSON, GA, 318080370, US | 4650 WOODMERE BLVD, MONTGOMERY, AL, 361062906, US | |||||||||||||||||
|
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| Fax | 7064943008 |
| Phone | +1 334-274-9000 |
| Fax | 3342740857 |
Authorized person
| Name | AMANDA FROMKIN |
| Role | CRED MANAGER |
| Phone | 7064943071 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role |
|---|---|
| FOWLER, ROBERT W MD | Agent |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2003-11-19 | Name Change | Hughston Orthopaedic Clinic, P.C. | The Hughston Clinic, P.C. |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
