Individual
MRS. KELLY CHRISTINE TRUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
119 LIBRARY HILL LN, LEXINGTON, SC 29072-3893
(803) 359-2110
Mailing address
1619 CATAWBA STREET, COLUMBIA, SC 29205
(317) 753-6443
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003922A
IN
152W00000X
Optometrist
Primary
2035
SC
Other
Enumeration date
07/20/2015
Last updated
02/07/2022
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