| Name: | ChestMed, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 22 Jun 2005 (19 years ago) |
| Entity Number: | 000-242-165 |
| Register Number: | 000242165 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 401 LOWELL DR STE 12HUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
| Authorized Capital: | $1,000 |
Activities
CRITICAL CARE MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831360379 | 2008-03-12 | 2008-03-12 | 401 LOWELL DR SE, HUNTSVILLE, AL, 358013748, US | 401 LOWELL DR SE, HUNTSVILLE, AL, 358013748, US | |||||||||||||||||||||||||
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| Phone | +1 256-265-5864 |
| Fax | 2562655865 |
Authorized person
| Name | MRS. TONJA M WILLIAMS |
| Role | BILLING MANAGER |
| Phone | 2566565789 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| License Number | 00025895 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 51529168 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| SMITH, JASON T | Agent | 8705-A HWY 31 NKIMBERLY, AL 35091 |
| Name | Role | Address |
|---|---|---|
| SMITH, JASON T | Incorporator | 8705-A HWY 31 NKIMBERLY, AL 35091 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
