VLADISLAV IVANCHENKO

MCDONOUGH, GA
NPI1497210009
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: GA  OPT003096)
Enumeration Date2019-02-07
Last Update Date2019-02-07
Business Address
VLADISLAV IVANCHENKO OD
1128 HIGHWAY 20 W STE A
MCDONOUGH, GA 30253-6520
Phone number: 770-302-1420
Mailing Address
VLADISLAV IVANCHENKO OD
2002 MILLINGTON LN
JACKSONVILLE, FL 32246-1386
Phone number: