Name: | LITTLE RIVER PEDIATRICS INC |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 09 Jun 2023 (a year ago) |
Entity Number: | 001-083-699 |
Register Number: | 001083699 |
County: | Lauderdale |
Place of Formation: | Alabama |
Principal Address: | 16487 US 72ROGERSVILLE, AL 35652 |
Principal Address ZIP Code: | 35652 |
Principal Mailing Address: | 140 ABBEY LNKILLEN, AL 35645 |
Principal Mailing Address ZIP Code: | 35645 |
Authorized Capital: | 1000 |
Paid Share Capital: | 1.00 |
Activities
TO PROVIDE MEDICAL CARE TO CHILDREN AND ANY OTHER LEGAL
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1154107951 | 2023-09-06 | 2023-09-06 | 140 ABBEY LN, KILLEN, AL, 356458702, US | 314 WOODWARD AVE STE C, MUSCLE SHOALS, AL, 356611540, US | |||||||||||||
|
Phone | +1 256-412-4743 |
Authorized person
Name | DONNA MONTGOMERY BOGUS |
Role | OWNER |
Phone | 2564124743 |
Taxonomy
Taxonomy Code | 208000000X - Pediatrics Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BOGUS, DONNA | Agent | 140 ABBEY LNKILLEN, AL 35645 |
Name | Role | Address |
---|---|---|
BOGUS, DONNA | Incorporator | 140 ABBEY LNKILLEN, AL 35645 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State