Individual
DR. WILLIAM LEE THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2349 DANVILLE RD SW, SUITE 410, DECATUR, AL 35603-4284
(256) 353-2392
Mailing address
1604 VESTAVIA DR SW, DECATUR, AL 35603-4635
(256) 466-6229
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-D41-TA-A26
AL
Other
Enumeration date
06/09/2015
Last updated
01/19/2016
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