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Olympus Direct Primary Care, P.C.

Details

Name: Olympus Direct Primary Care, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 24 Jun 2022 (2 years ago) (Companies founded in June 2022)
Entity Number: 001-026-834
Register Number: 001026834
ZIP code: 35068 (Companies in Jefferson, 35068)
County: Jefferson
Place of Formation: Alabama
Principal Address: 1311 Decatur Highway, Suite CFultondale, AL 35068
Authorized Capital: 1000
Paid Share Capital: 0.0

Activities See attachment.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619696598 2022-08-24 2022-08-24 1311 DECATUR HWY STE C, FULTONDALE, AL, 350681737, US 1311 DECATUR HWY STE C, FULTONDALE, AL, 350681737, US

Contacts

Phone +1 205-927-5185

Authorized person

Name DR. JUSTIN THOMAS COOKE
Role OWNER/PRESIDENT
Phone 4847884788

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role
Cooke, Justin MD, FAAFP Agent

Incorporator

Name Role Address
Cooke,, Justin MD, F Incorporator 1311 Decatur Highway, Suite CFultondale, AL 35068

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State