| Name: | Cheaha Women's Health and Wellness LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 15 Dec 2011 (13 years ago) (Companies founded in December 2011) |
| Entity Number: | 000-025-484 |
| Register Number: | 000025484 |
| ZIP code: | 36205 (Companies in Calhoun, 36205) |
| County: | Calhoun |
| Place of Formation: | Calhoun County |
| Principal Mailing Address: | 230 S MELVILLE STPHILADELPHIA, PA 19139 |
| Principal Address: | 171 TOWN CENTER DRIVEANNISTON, AL 36205 |
Activities
PROVIDE WOMEN'S HEALTHCARE SPECIFICALLY OBSTETRICS & GYN
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477816981 | 2012-06-19 | 2012-06-19 | PO BOX 2610, ANNISTON, AL, 362022610, US | 171 TOWN CENTER DR, ANNISTON, AL, 362054101, US | |||||||||||||||||||||||
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| Phone | +1 256-400-1061 |
Authorized person
| Name | DR. JOSHUA B JOHANNSON |
| Role | OWNER/PHYSICIAN |
| Phone | 2564001061 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| License Number | MD31286 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 137339 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| JOHANNSON, JOSHUA | Organizer | 171 TOWN CENTER DRANNISTON, AL 36205 |
| Name | Role | Address |
|---|---|---|
| JOHANNSON, JOSHUA | Agent | 171 TOWN CENTER DRANNISTON, AL 36205 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
