| Name: | Hartselle Family Medicine, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 29 Dec 1994 (30 years ago) |
| Entity Number: | 000-168-942 |
| Register Number: | 000168942 |
| ZIP code: | 35640 |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Principal Address: | HARTSELLE, AL |
| Registered Office Street Address: | 310 PINE STREET NWHARTSELLE, AL 35640 |
| Authorized Capital: | $10,000 |
| Paid Share Capital: | ---- |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922208057 | 2007-07-18 | 2018-03-17 | 615 MYNATT ST, SUITE E, HARTSELLE, AL, 35640, US | 615 MYNATT ST, SUITE E, HARTSELLE, AL, 35640, US | |||||||||||||||
|
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| Phone | +1 256-773-2979 |
| Fax | 2567732986 |
Authorized person
| Name | MS. PATRICIA LEE GIVENS |
| Role | OFFICE MANAGER |
| Phone | 2567732979 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DUKES, ANDREW S | Agent |
| Name | Role | Address |
|---|---|---|
| LEVITT, RONALD A | Incorporator | PO BOX 55727BIRMINGHAM, AL 35255-5727 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
