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LITTLE RIVER PEDIATRICS INC

Details

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

National Provider Identifier

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

Contacts

Phone +1 256-412-4743

Authorized person

Name DONNA MONTGOMERY BOGUS
Role OWNER
Phone 2564124743

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes

Agent

Name Role Address
BOGUS, DONNA Agent 140 ABBEY LNKILLEN, AL 35645

Incorporator

Name Role Address
BOGUS, DONNA Incorporator 140 ABBEY LNKILLEN, AL 35645

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State