| Name: | J. Michael Karst, M.D., P.A. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Association |
| Status: | Exists |
| Date of registration: | 20 Oct 1971 (53 years ago) |
| Entity Number: | 000-010-569 |
| Register Number: | 000010569 |
| Historical Names: |
Charles Karst III, M.D., P.A.
|
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | 4485 ATLANTA HWYMONTGOMERY, AL 36109 |
| Principal Address ZIP Code: | 36109 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750436895 | 2007-01-25 | 2024-03-08 | 4485 ATLANTA HWY, MONTGOMERY, AL, 361093102, US | 4485 ATLANTA HWY, MONTGOMERY, AL, 361093102, US | |||||||||||||||||||||||
|
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| Phone | +1 334-272-4302 |
| Fax | 3342720195 |
Authorized person
| Name | ANN KARST |
| Role | OFFICE MANAGER |
| Phone | 3342724302 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 13546 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | TRAVELERS MEDICARE |
| Number | 200006016 |
| Name | Role |
|---|---|
| KARST, CHARLES III MD | Member |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1996-03-15 | Name Change | Charles Karst III, M.D., P.A. | J. Michael Karst, M.D., P.A. |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
