| Name: | North Alabama ENT Associates, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 05 Aug 1997 (27 years ago) |
| Entity Number: | 000-189-490 |
| Register Number: | 000189490 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 927 FRANKLIN ST STE 100HUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
| Authorized Capital: | 100 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215057492 | 2007-03-30 | 2013-12-06 | PO BOX 18066, HUNTSVILLE, AL, 358048066, US | 8337 HIGHWAY 72 W, SUITE 301, MADISON, AL, 357589547, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 256-536-9300 |
| Fax | 2565359032 |
| Phone | +1 256-772-1884 |
| Fax | 2567721886 |
Authorized person
| Name | HERMAN MCKINLEY TEACHEY |
| Role | PRESIDENT |
| Phone | 2565369300 |
Taxonomy
| Taxonomy Code | 207Y00000X - Otolaryngology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529704220 |
| State | AL |
| Issuer | MEDICAID |
| Number | 529703900 |
| State | AL |
| Name | Role |
|---|---|
| MCCARY, SCOTT W | Agent |
| Name | Role |
|---|---|
| MARTIN, RICHARD G | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
