| Name: | Marble City Family Care & Obstetrics, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 29 Sep 2010 (14 years ago) |
| Entity Number: | 000-265-381 |
| Register Number: | 000265381 |
| ZIP code: | 35150 |
| County: | Talladega |
| Place of Formation: | Talladega County |
| Principal Address: | SYLACAUGA, AL |
| Registered Office Street Address: | 11 N NORTON AVENUESYLACAUGA, AL 35150 |
| Authorized Capital: | $1,000 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194025346 | 2010-10-21 | 2022-10-13 | 11 N NORTON AVE, SYLACAUGA, AL, 351502451, US | 11 N NORTON AVE, SYLACAUGA, AL, 351502451, US | |||||||||||||||||||
|
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| Phone | +1 256-245-6700 |
| Fax | 2562456002 |
Authorized person
| Name | MRS. GAYLYNN KELSO |
| Role | OFFICE MANAGER |
| Phone | 2562456700 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| Is Primary | No |
| Name | Role |
|---|---|
| GARRIS, CLIFTON E | Agent |
| Name | Role |
|---|---|
| GARRIS, CLIFTON E | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
