Organization
EDMONSON AESTHETIC FACIAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA MILLER-EDMONSON M.D. (SOLE PROP)
(256) 265-6344
Entity
Organization
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
Enumeration date
05/20/2008
Last updated
09/08/2008
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