Individual
DR. BRENDA C MILLER EDMONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
910 ADAMS ST SE, SUITE 130, HUNTSVILLE, AL 35801-3730
(256) 265-6344
(256) 265-7965
Mailing address
910 ADAMS ST SE, SUITE 130, HUNTSVILLE, AL 35801-3730
(256) 265-6344
(256) 265-7965
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
26946
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32640
MEDICARE ID
AL
Enumeration date
09/26/2005
Last updated
10/02/2013
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