Individual
DR. JOHN C VENCILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1400 HUDSON BRIDGE RD, STOCKBRIDGE, GA 30281-5018
(678) 485-8906
Mailing address
2933 SUMMIT DR, JONESBORO, GA 30236-6252
(678) 485-8906
(770) 474-0698
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000970
GA
Other
Enumeration date
09/11/2006
Last updated
04/13/2021
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