Name: | Jackson County Family Care Clinic, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 04 Jun 1980 (45 years ago) |
Entity Number: | 000-061-656 |
Register Number: | 000061656 |
Historical Names: |
William H. Coleman, M.D., P.C.
|
Place of Formation: | Jackson County |
Principal Address: | SCOTTSBORO, AL |
Authorized Capital: | $3,000 |
Paid Share Capital: | $1,000 |
Activities
MEDICAL
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1295828036 | 2006-10-02 | 2014-03-19 | 508 HARLEY ST, SUITE C, SCOTTSBORO, AL, 357684294, US | 508 HARLEY ST, SUITE C, SCOTTSBORO, AL, 357684294, US | |||||||||||||||
|
Phone | +1 256-259-5537 |
Fax | 2562593189 |
Authorized person
Name | DR. WILLIAM HARDIN COLEMAN JR. |
Role | PRESIDENT |
Phone | 2562595537 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
COLEMAN, WILLIAM H | Incorporator | 509 OLIVER ROADMONTGOMERY, AL 36117-2207 |
COLEMAN, JOHNNIE FRANCES | Incorporator | No data |
DEVERS, KENNETH | Incorporator | No data |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
1997-07-14 | Name Change | William H. Coleman, M.D., P.C. | Jackson County Family Care Clinic, P.C. |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State