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Gladstone Primary Care P.C.

Details

Name: Gladstone Primary Care P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 25 Jan 2023 (2 years ago) (Companies founded in January 2023)
Entity Number: 001-059-495
Register Number: 001059495
ZIP code: 35640 (Companies in Morgan, 35640)
County: Morgan
Place of Formation: Alabama
Principal Address: 301 Pine Street, Suite AHartselle, AL 35640
Authorized Capital: 2000
Paid Share Capital: 1.00

Activities Medical Practice

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134825003 2023-02-02 2023-04-28 301 PINE ST NW STE A, HARTSELLE, AL, 356402339, US 301 PINE ST NW STE A, HARTSELLE, AL, 356402339, US

Contacts

Phone +1 256-773-6017
Fax 2567737834

Authorized person

Name JULIANA CLARK
Role CO-OWNER
Phone 2567736017

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role
Smith, Lindsay Agent

Incorporator

Name Role Address
Jones, D. Ashley Incorporator 100 Washington Street, Suite 100Huntsville, AL 35801

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State