| Name: | Shoals Foot and Ankle Clinic, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 10 Jul 2024 (4 months ago) (Companies founded in July 2024) |
| Entity Number: | 001-144-390 |
| Register Number: | 001144390 |
| ZIP code: | 35645 (Companies in Lauderdale, 35645) |
| County: | Lauderdale |
| Place of Formation: | Alabama |
| Principal Address: | 382 County Road 168Killen, AL 35645 |
| Authorized Capital: | 1000 |
Activities
To engage in the practice of podiatric medicine
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477381366 | 2024-07-23 | 2024-07-23 | 382 COUNTY ROAD 168, KILLEN, AL, 356454528, US | 202 ROSA LN, FLORENCE, AL, 356301769, US | |||||||||||||||
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| Phone | +1 256-710-4747 |
| Phone | +1 256-764-1806 |
Authorized person
| Name | JOSHUA BLAKE BURCHELL |
| Role | PODIATRIST |
| Phone | 2567104747 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Burchell, Joshua B | Agent | 382 County Road 168Killen, AL 35645 |
| Name | Role | Address |
|---|---|---|
| Burchell, Joshua B | Incorporator | 382 County Road 168Killen, AL 35645 |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
