| Name: | General Practice, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 23 Nov 2011 (13 years ago) |
| Entity Number: | 000-032-124 |
| Register Number: | 000032124 |
| ZIP code: | 36542 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Registered Office Street Address: | 141 COVE AVENUEGULF SHORES, AL 36542 |
| Authorized Capital: | 1,000 |
Activities
GENERAL FAMILY MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649434424 | 2008-07-11 | 2012-04-09 | PO BOX 2029, GULF SHORES, AL, 365472029, US | 3849 GULF SHORES PKWY, SUNSET PLAZA SUITE 9, GULF SHORES, AL, 365422856, US | |||||||||||||||||||
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| Phone | +1 251-968-2441 |
| Fax | 2519685555 |
Authorized person
| Name | MRS. KIMBERLY A RANDALL |
| Role | MANAGER |
| Phone | 2519675215 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | DO58 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FUNK, GREGORY S | Agent | 141 COVE AVENUEGULF SHORES, AL 36542 |
| Name | Role | Address |
|---|---|---|
| FUNK, GREGORY S | Director | 141 COVE AVENUEGULF SHORES, AL 36542 |
| Name | Role | Address |
|---|---|---|
| FUNK, GREGORY S | Incorporator | 141 COVE AVENUEGULF SHORES, AL 36542 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6495847302 | 2020-04-30 | 0459 | PPP | 3849 GULF SHORES PKWY, GULF SHORES, AL, 36542-2856 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
