Provider Demographics
NPI:1851601256
Name:JAMES G. CHAMBERS III, M.D. P.C.
Entity Type:Organization
Organization Name:JAMES G. CHAMBERS III, M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR, PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:256-534-0659
Mailing Address - Street 1:401 LOWELL DR SE
Mailing Address - Street 2:SUITE 15
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3748
Mailing Address - Country:US
Mailing Address - Phone:256-534-0659
Mailing Address - Fax:256-534-2412
Practice Address - Street 1:401 LOWELL DR SE
Practice Address - Street 2:SUITE 15
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3748
Practice Address - Country:US
Practice Address - Phone:256-534-0659
Practice Address - Fax:256-534-2412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00006818207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0114361OtherBLUE CROSS TN.
AL51001093OtherBLUE CROSS PROVIDER NUMBER
ALP00056562OtherRAILROAD MEDICARE PROVIDER
AL0004124418OtherAETNA PROVIDER NUMBER
ALP00056562OtherRAILROAD MEDICARE PROVIDER