Individual
HENRY GRAVES EDMONDSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
701 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1303
(205) 783-3144
Mailing address
PO BOX 235022, MONTGOMERY, AL 36123-5022
(334) 386-2051
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-076317
AL
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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