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James G. Chambers, III, M.D., P.C.

Details

Name: James G. Chambers, III, M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 01 Oct 1976 (48 years ago)
Entity Number: 000-043-681
Register Number: 000043681
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Authorized Capital: $1,000
Paid Share Capital: $1,000

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851601256 2010-10-19 2010-10-19 401 LOWELL DR SE, SUITE 15, HUNTSVILLE, AL, 358013748, US 401 LOWELL DR SE, SUITE 15, HUNTSVILLE, AL, 358013748, US

Contacts

Phone +1 256-534-0659
Fax 2565342412

Authorized person

Name DR. JAMES GEORGE CHAMBERS III
Role DOCTOR, PRESIDENT
Phone 2565340659

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number 00006818
State AL
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS TN.
Number 0114361
State TN
Issuer BLUE CROSS PROVIDER NUMBER
Number 51001093
State AL
Issuer RAILROAD MEDICARE PROVIDER
Number P00056562
State AL
Issuer AETNA PROVIDER NUMBER
Number 0004124418
State AL

Incorporator

Name Role Address
CHAMBERS, JAMES G III MD Incorporator No data
HENRY, GEORGE A III Incorporator No data
WYNN, JOHN R Incorporator 2101 W CLINTON AVENUE SUITE 102HUNTSVILLE, AL 35805

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State