Individual
ALETHA LAKAY EDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7583 WALL TRIANA HWY, MADISON, AL 35757-8327
(256) 547-6119
(256) 546-2981
Mailing address
PO BOX 303, GADSDEN, AL 35902-0303
(256) 547-6119
(256) 546-2981
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
00024685
AL
207Q00000X
Family Medicine Physician
Primary
00024685
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051513810
BCBS
AL
05
—
051553015
—
AL
01
—
51002018
BLUE CROSS BLUE SHIELD
AL
01
—
51537577
BLUE CROSS BLUE SHIELD
AL
Enumeration date
09/15/2005
Last updated
05/22/2008
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