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Jackson County Family Care Clinic, P.C.

Details

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

National Provider Identifier

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

Contacts

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

Incorporator

Name Role Address
COLEMAN, WILLIAM H Incorporator 509 OLIVER ROADMONTGOMERY, AL 36117-2207
COLEMAN, JOHNNIE FRANCES Incorporator No data
DEVERS, KENNETH Incorporator No data

Events

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