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Christopher Johnson MD, PC

Details

Name: Christopher Johnson MD, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 05 Jan 2023 (2 years ago) (Companies founded in January 2023)
Entity Number: 001-056-075
Register Number: 001056075
ZIP code: 35801 (Companies in Madison, 35801)
County: Madison
Place of Formation: Alabama
Principal Address: 1102 Gleneagles DriveHuntsville, AL 35801
Authorized Capital: 1000

Activities Business

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770277139 2023-06-07 2023-10-25 1102 GLENEAGLES DR SW, HUNTSVILLE, AL, 358016404, US 1102 GLENEAGLES DR SW, HUNTSVILLE, AL, 358016404, US

Contacts

Phone +1 256-881-5880

Authorized person

Name CHRISTOPHER A JOHNSON
Role AUTHORIZED OFFICIAL
Phone 3347142731

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
Johnson, Christopher Agent 1102 Gleneagles DriveHutsville, AL 35801

Incorporator

Name Role Address
Johnson, Christopher Incorporator 1102 Gleneagles DriveHutsville, AL 35801

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State