| Name: | Watchman's Health, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 11 Sep 2019 (6 years ago) |
| Entity Number: | 000-587-468 |
| Register Number: | 000587468 |
| ZIP code: | 35619 |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Registered Office Street Address: | 888 FREEMAN ROADDANVILLE, AL 35619 |
| Authorized Capital: | 1000@$1.00PV |
Activities
TO ENGAGE IN ANY LAWFUL BUSINESS
ACT OR ATIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568012755 | 2019-09-19 | 2024-09-20 | 1530 WOLVERINE DR SE STE D, DECATUR, AL, 356014950, US | 1530 WOLVERINE DR SE STE D, DECATUR, AL, 356014950, US | |||||||||||||||||||||||||||
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| Phone | +1 256-350-6182 |
| Fax | 2563506184 |
Authorized person
| Name | MRS. ALICIA LEE HAMMAN |
| Role | CRNP |
| Phone | 2563506182 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | GROUP NPI |
| Number | 1568012755 |
| State | AL |
| Issuer | PTAN |
| Number | 2609 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| HAMMAN, ALICIA | Agent | 888 FREEMAN ROADDANVILLE, AL 35619 |
| Name | Role | Address |
|---|---|---|
| HAMMAN, ALICIA | Director | 888 FREEMAN ROADDANVILLE, AL 35619 |
| Name | Role | Address |
|---|---|---|
| HAMMAN, ALICIA | Incorporator | 888 FREEMAN ROADDANVILLE, AL 35619 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
