# EDMONSON AESTHETIC FACIAL SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831356559
- **Authorized official:** DR. BRENDA MILLER-EDMONSON M.D. (SOLE PROP)
- **Authorized official phone:** (256) 265-6344

## Contact information

- **Practice address:** 910 ADAMS ST SE, SUITE 130, HUNTSVILLE, AL 35801-3730
- **Practice address phone:** (256) 265-6344
- **Practice address fax:** (256) 265-7965
- **Mailing address:** 910 ADAMS ST SE, SUITE 130, HUNTSVILLE, AL 35801-3730
- **Mailing address phone:** (256) 265-6344
- **Mailing address fax:** (256) 265-7965

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 26946 | AL | Yes |

## Other

- **Enumeration date:** 05/20/2008
- **Last updated:** 09/08/2008