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Edmonson Aesthetic Facial Surgery LLC

Details

Name: Edmonson Aesthetic Facial Surgery LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 20 May 2008 (17 years ago) (Companies founded in May 2008)
Entity Number: 000-420-482
Register Number: 000420482
ZIP code: 35757 (Companies in Madison, 35757)
County: Madison
Place of Formation: Madison County
Principal Address: MADISON, AL
Registered Office Street Address: 404 WEATHERFORD DRMADISON, AL 35757

Activities OPHTHALMIC PLASTIC MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831356559 2008-05-20 2008-09-08 910 ADAMS ST SE, SUITE 130, HUNTSVILLE, AL, 358013730, US 910 ADAMS ST SE, SUITE 130, HUNTSVILLE, AL, 358013730, US

Contacts

Phone +1 256-265-6344
Fax 2562657965

Authorized person

Name DR. BRENDA MILLER-EDMONSON
Role SOLE PROP
Phone 2562656344

Taxonomy

Taxonomy Code 207W00000X - Ophthalmology Physician
License Number 26946
State AL
Is Primary Yes

Agent

Name Role
MILLER-EDMONSON, BRENDA Agent

Member

Name Role
MILLER-EDMONDSON, BRENDA Member

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State