Individual
DR. WILLIAM LEE WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2032 VETERANS BLVD STE A, DUBLIN, GA 31021-3065
(478) 272-3445
(478) 272-4802
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000975
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000230271A
—
GA
Enumeration date
06/05/2006
Last updated
04/05/2022
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