| Name: | J. Christopher Davis, PLLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 25 Nov 2009 (15 years ago) |
| Entity Number: | 000-440-599 |
| Register Number: | 000440599 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 3519 TANGLECREEK CIRCLEBIRMINGHAM, AL 35243 |
| Registered Office Street Address ZIP Code: | 35243 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841595014 | 2011-01-20 | 2014-02-26 | 2161 VALLEYDALE RD, HOOVER, AL, 352442010, US | 2161 VALLEYDALE RD, HOOVER, AL, 352442010, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 205-988-6858 |
| Fax | 2059873501 |
Authorized person
| Name | JOHN CHRISTOPHER DAVIS |
| Role | OWNER/PRESIDENT |
| Phone | 2059886858 |
Taxonomy
| Taxonomy Code | 207Y00000X - Otolaryngology Physician |
| License Number | 00025648 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBSAL |
| Number | 051113640 |
| State | AL |
| Issuer | MEDICAID |
| Number | 009962145 |
| State | AL |
| Issuer | MEDICAID |
| Number | 134661 |
| State | AL |
| Issuer | BCBS |
| Number | 51521978 |
| Name | Role | Address |
|---|---|---|
| DAVIS, J CHRISTOPHER | Agent | 2161 VALLEYDALE ROADHOOVER, AL 35244 |
| Name | Role | Address |
|---|---|---|
| DAVIS, J CHRISTOPHER | Member | 2161 VALLEYDALE ROADHOOVER, AL 35244 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
