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Cheaha Adult and Pediatric Medicine, P.C.

Details

Name: Cheaha Adult and Pediatric Medicine, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 06 Aug 2021 (3 years ago)
Entity Number: 000-877-016
Register Number: 000877016
County: Calhoun
Place of Formation: Alabama
Principal Address: 6081 Shannon Brook LaneOxford, AL 36203
Principal Address ZIP Code: 36203
Authorized Capital: 1000
Paid Share Capital: 1.00

Activities See attached

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972278232 2021-08-10 2021-10-11 6081 SHANNON BROOK LN, OXFORD, AL, 362033369, US 1416 GOLDEN SPRINGS RD, ANNISTON, AL, 362076924, US

Contacts

Phone +1 256-515-4494
Fax 2565154496

Authorized person

Name DR. NATALIE M LINDELL
Role OWNER
Phone 2565154494

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
Lindell, Natalie M M.D. Agent 6081 Shannon Brook LaneOxford, AL 36203

Incorporator

Name Role Address
Lindell, Natalie M M.D. Incorporator 6081 Shannon Brook LaneOxford, AL 36203

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State