| Name: | JMH Medical Services, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 20 Sep 2002 (22 years ago) |
| Entity Number: | 000-684-885 |
| Register Number: | 000684885 |
| ZIP code: | 36877 |
| County: | Lee |
| Place of Formation: | Lee County |
| Principal Address: | SMITHS, AL |
| Registered Office Street Address: | 867 LEE RD 248SMITHS, AL 36877 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760605851 | 2007-04-10 | 2007-07-20 | 867 LEE RD 248, P.O. BOX 1417, SMITHS STATION, AL, 36877, US | 867 LEE RD 248, SMITHS STATION, AL, 36877, US | |||||||||||||||||||||||||||||||
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| Phone | +1 334-291-8400 |
| Fax | 3342918409 |
Authorized person
| Name | DR. JERRY MICHAEL HOLLINGSWORTH |
| Role | OWNER |
| Phone | 3342918400 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| License Number | DO497 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CIGNA |
| Number | 1223358 |
| State | AL |
| Issuer | BCBS OF AL |
| Number | 51511654 |
| State | AL |
| Name | Role |
|---|---|
| HOLLINGSWORTH, JERRY MICHAEL | Agent |
| Name | Role |
|---|---|
| HOLLINGSWORTH, JERRY MICHAEL | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
