Aletha L. Edison MD
Family Medicine Physician in Madison, AL(View on Map)
Full Name
Aletha Lakay Edison MD
NPI Number
1528053519
NPI Type
Individual Provider
Gender
Female
Enumeration Date
09/15/2005
Specialties
(Taxonomies)Code
207Q00000X
207P00000X
Primary Taxonomy
Yes
No
Licenses
State
Alabama
License Number
00024685
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 303
7583 WALL TRIANA HWY
City
Gadsden
Madison
State
AL
AL
Postal Code
35902-0303
35757-8327
Country
US
US
Telephone Number
(256) 547-6119
(256) 547-6119
Identifiers
Identifier
51002018
051513810
51537577
051553015
Identifier State
AL
AL
AL
AL
Identifier Issuer
BLUE CROSS BLUE SHIELD
BCBS
BLUE CROSS BLUE SHIELD
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/22/2008
Provider Address
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