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Aletha Lakay Edison M.D., L.L.C.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
EDISON, ALETHA L Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State