Organization
JEREMY EDGERLY, OD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY DANIEL EDGERLY OD (SOLE MEMBER/OPTOMETRIST)
(205) 341-9595
Entity
Organization
Contact information
Practice address
921 JEMISON LANE, MOUNTAIN BROOK, AL 35223
(205) 341-9595
Mailing address
3504 BRANCH MILL RD, MOUNTAIN BRK, AL 35223-1608
(205) 341-9595
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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