Individual
EDITH C AGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2101 CHESTNUT ST, MONTGOMERY, AL 36106-1112
(334) 265-9225
(334) 240-6653
Mailing address
2101 CHESTNUT ST, MONTGOMERY, AL 36106-1112
(334) 265-9225
(334) 240-6653
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA-62
AL
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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