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Lamar Family Medicine, Inc.

Details

Name: Lamar Family Medicine, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 01 Aug 2022 (2 years ago) (Companies founded in August 2022)
Entity Number: 001-032-493
Register Number: 001032493
ZIP code: 35592 (Companies in Lamar, 35592)
County: Lamar
Place of Formation: Alabama
Principal Address: 45020 Hwy 17Vernon, AL 35592
Principal Mailing Address: P.O. Box 1614Vernon, AL 35592
Authorized Capital: 100

Activities Private Medical Practice

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962130237 2022-08-12 2022-08-18 45020 HIGHWAY 17, VERNON, AL, 355925636, US 45020 HIGHWAY 17, VERNON, AL, 355925636, US

Contacts

Phone +1 205-695-0106
Fax 2053950502

Authorized person

Name KATLYN BRYANT
Role NP-C
Phone 2056950106

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
Norton, Katlyn B Agent 305 Northam RdVernon, AL 35592

Incorporator

Name Role Address
Norton, Katlyn B Incorporator 305 Northam RdVernon, AL 35592

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State