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Individual

CHRIS DEWAYNE TEICHMILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O. D.

Contact information

Practice address
823 6TH AVE SE, DECATUR, AL 35601-3021
(256) 353-1871
(256) 350-2140
Mailing address
823 6TH AVE SE, DECATUR, AL 35601-3021
(256) 353-1871
(256) 350-2140

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S718TA087
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051503954
AL
Enumeration date
10/13/2006
Last updated
07/09/2007
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