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Organization

ALETHA LAKAY EDISON M D LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALETHA L EDISON MD (OWNER/PHYSICIAN)
(256) 350-4999
Entity
Organization

Contact information

Practice address
1416 6TH AVE SE UNIT D, DECATUR, AL 35601-4247
(256) 350-4999
(256) 580-5818
Mailing address
1416 6TH AVE SE UNIT D, DECATUR, AL 35601-4247
(256) 350-4999
(256) 580-5818

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary

Other

Enumeration date
02/27/2019
Last updated
02/27/2019
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