Individual
THOMAS JEFFERSON HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1127 HIGHWAY 43 SOUTH, SARALAND, AL 36571-3720
(251) 675-2718
(251) 675-9827
Mailing address
PO BOX 687, SARALAND, AL 36571-0687
(251) 675-2718
(251) 675-9827
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S340TA047
AL
Other
Enumeration date
08/11/2006
Last updated
03/19/2010
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