Name: | Aletha Lakay Edison M.D., L.L.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 19 Feb 2019 (6 years ago) (Companies founded in February 2019) |
Entity Number: | 000-543-926 |
Register Number: | 000543926 |
ZIP code: | 35763 (Companies in Madison, 35763) |
County: | Madison |
Place of Formation: | Morgan County |
Registered Office Mailing Address: | 2979 HAMPTON COVE WAY SEOWENS CROSS ROADS, AL 35763 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1033676937 | 2019-02-27 | 2019-02-27 | 1416 6TH AVE SE UNIT D, DECATUR, AL, 356014247, US | 1416 6TH AVE SE UNIT D, DECATUR, AL, 356014247, US | |||||||||||||||
|
Phone | +1 256-350-4999 |
Fax | 2565805818 |
Authorized person
Name | DR. ALETHA L EDISON |
Role | OWNER/PHYSICIAN |
Phone | 2563504999 |
Taxonomy
Taxonomy Code | 207QA0401X - Addiction Medicine (Family Medicine) Physician |
Is Primary | Yes |
Name | Role |
---|---|
EDISON, ALETHA L | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State