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Vines Medical, PC

Details

Name: Vines Medical, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 12 Aug 2024 (3 months ago) (Companies founded in August 2024)
Entity Number: 001-149-285
Register Number: 001149285
Historical Names: Vines Concierge Medicine, PC
ZIP code: 35216 (Companies in Jefferson, 35216)
County: Jefferson
Place of Formation: Alabama
Principal Address: 2748 Anna Steele LnVestavia Hills, AL 35216
Authorized Capital: 10000
Paid Share Capital: 0.100

Activities Medical Practice

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801629589 2024-08-20 2024-08-22 2748 ANNA STEELE LN, VESTAVIA HILLS, AL, 352164001, US 2057 VALLEYDALE RD STE 100, HOOVER, AL, 352442707, US

Contacts

Phone +1 256-694-2916

Authorized person

Name KAREN M VINES
Role PRESIDENT AND CEO
Phone 2566942916

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
Vines, Karen Agent 2748 Anna Steele LnVestavia Hills, AL 35216

Incorporator

Name Role Address
Vines, Karen Incorporator 2748 Anna Steele LnVestavia Hills, AL 35216

Events

Event Date Event Type Old Value New Value
2024-09-17 Name Change Vines Concierge Medicine, PC Vines Medical, PC

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State