Individual
MR. BRANDON JAMES ALDERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12181 COUNTY LINE RD STE 190, MADISON, AL 35758-7739
(256) 233-5454
Mailing address
506 LEGACY FARM DR SE, HUNTSVILLE, AL 35802-2592
(301) 707-5420
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-E66-TA-C06
AL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/20/2020
Last updated
10/14/2020
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