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Organization

HENRY VISION CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICKSON HENRY OD (CEO/OPTOMETRIST)
(770) 474-5617
Entity
Organization

Contact information

Practice address
3564 HIGHWAY 138 SE, STOCKBRIDGE, GA 30281-4170
(770) 474-5617
(770) 474-6576
Mailing address
3564 HIGHWAY 138 SE, STOCKBRIDGE, GA 30281-4170
(770) 474-5617
(770) 474-6576

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
02/28/2009
Last updated
09/18/2014
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